Organization
MOUNTAIN VIEW PEDIATRICS AND INTERNAL MEDICINE
Active
Parent organization
MERCY PHYSICIAN SERVICES, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MERCY PHYSICIAN SERVICES, LLC
Authorized official
SUSANNE NELMS (PRACTICE ADMINISTRATOR/DIRECTOR)
(865) 549-4892
Entity
Organization
Contact information
Practice address
657 E BROADWAY BLVD, JEFFERSON CITY, TN 37760-4948
(423) 587-7333
Mailing address
657 E BROADWAY BLVD, JEFFERSON CITY, TN 37760-4948
(423) 587-7333
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/02/2010
Last updated
09/02/2010
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