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Organization

WEST SIDE MEDICAL CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID M SELLERS M.D. (OWNER)
(865) 862-4575
Entity
Organization

Contact information

Practice address
9957 KINGSTON PIKE, SUITE 105, KNOXVILLE, TN 37922-6908
(865) 862-4575
(865) 909-9397
Mailing address
9957 KINGSTON PIKE, SUITE 105, KNOXVILLE, TN 37922-6908
(865) 862-4575
(865) 909-9397

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
12/04/2013
Last updated
01/27/2014
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