Organization
1 TEAM LLC TAZEWELL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES C. DOTY JR. (PRESIDENT)
(423) 639-0187
Entity
Organization
Contact information
Practice address
150 HESTER LN, TAZEWELL, TN 37879-5088
(423) 851-1149
Mailing address
PO BOX 416, GREENEVILLE, TN 37744-0416
(423) 639-0187
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1366442782
TN
Other
Enumeration date
02/03/2017
Last updated
02/03/2017
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