Organization
COMMUNITY CARE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY L BECK NP-C (PRACTICIONER/OWNER)
(423) 338-7434
Entity
Organization
Contact information
Practice address
4867 HIGHWAY 411, CLEVELAND, TN 37323-5360
(423) 338-7434
(423) 338-7436
Mailing address
PO BOX 306, OCOEE, TN 37361-0306
(423) 338-7434
(423) 338-7436
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
F0906005
TN
Other
Enumeration date
03/13/2008
Last updated
03/13/2008
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