Organization
GREENEVILLE URGENT CARE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARLYLE WALTON I (CEO)
(423) 639-3151
Entity
Organization
Contact information
Practice address
1744 E ANDREW JOHNSON HWY, GREENEVILLE, TN 37745-4278
(423) 636-8891
(423) 636-1732
Mailing address
1744 E ANDREW JOHNSON HWY, GREENEVILLE, TN 37745-4278
(423) 636-8891
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3707476
—
TN
01
—
CB8650
RAILROAD MEDICARE
TN
01
—
TN0100
JOHN DEERE HEALTHCARE
TN
Enumeration date
05/17/2006
Last updated
09/06/2007
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