Organization
MOUNTAIN HOPE GOOD SHEPHERD CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY VANCE (EXECUTIVE DIRECTOR)
(865) 774-7684
Entity
Organization
Contact information
Practice address
312 PRINCE ST, SEVIERVILLE, TN 37862-3823
(865) 774-7684
Mailing address
312 PRINCE ST, SEVIERVILLE, TN 37862-3823
(865) 774-7684
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/25/2012
Last updated
01/25/2012
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