Organization
URGENT CARE SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY KEITH GOUGE P.A. (OWNER)
(865) 414-9346
Entity
Organization
Contact information
Practice address
8861 KINGSTON PIKE, KNOXVILLE, TN 37923-5002
(865) 281-5415
(865) 281-5337
Mailing address
8861 KINGSTON PIKE, KNOXVILLE, TN 37923-5002
(865) 281-5415
(865) 281-5337
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
363A00000X
Physician Assistant
PA1728
TN
Other
Enumeration date
05/16/2014
Last updated
11/24/2015
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