Organization
MERCY PRIMARY CARE WEST
Active
Parent organization
MERCY PHYSICIAN SERVIES, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MERCY PHYSICIAN SERVIES, LLC
Authorized official
SUSANNE NELMS (EXECUTIVE DIRECTOR)
(865) 549-4892
Entity
Organization
Contact information
Practice address
10810 PARKSIDE DR STE G11, KNOXVILLE, TN 37934-1979
(865) 777-2727
Mailing address
10810 PARKSIDE DRIVE SUITE G11, KNOXVILLE, TN 37934
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
05/26/2011
Last updated
05/26/2011
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