Organization
CLINCH PROFESSIONAL PHYSICIAN SERVICES LLC
Active
Other names
Clinch Valley Family Care
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLOTTE LAWRENCE (SECRETARY)
(615) 920-7000
Entity
Organization
Contact information
Practice address
1100 CEDAR VALLEY DR STE 3, CEDAR BLUFF, VA 24609-9247
(276) 596-6449
Mailing address
330 SEVEN SPRINGS WAY, BRENTWOOD, TN 37027-5098
(615) 920-7000
(615) 920-8775
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
06/20/2023
Last updated
09/24/2024
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