Organization
SOUTHERN MEDICAL CLINICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBRA LYNN CHIN RN (OFFICE MANAGER)
(423) 728-1845
Entity
Organization
Contact information
Practice address
2384 BLUE SPRINGS RD SE, CLEVELAND, TN 37311-0909
(423) 728-1845
(423) 728-1925
Mailing address
PO BOX 2515, CLEVELAND, TN 37320-2515
(423) 728-1845
(423) 728-1925
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
MD31732
TN
363A00000X
Physician Assistant
PA753
TN
Other
Enumeration date
05/03/2006
Last updated
06/05/2014
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