Organization
TN PREMIER CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IAN P CLARKE (OWNER)
(865) 281-5922
Entity
Organization
Contact information
Practice address
3609 OUTDOOR SPORTSMAN PL STE 7, KODAK, TN 37764
(865) 281-5922
(865) 766-5396
Mailing address
3609 OUTDOOR SPORTSMAN PL STE 7, KODAK, TN 37764-1477
(865) 281-5922
(865) 766-5396
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
397
TN
Other
Enumeration date
10/02/2013
Last updated
12/10/2019
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