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Organization

BRADLEY POLK WALK IN CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TAMI SOLBERG BREHEN NP-C (CO-OWNER)
(423) 299-9435
Entity
Organization

Contact information

Practice address
119 WHITE WATER DR, OCOEE, TN 37361-3645
(423) 299-9435
Mailing address
119 WHITE WATER DR, OCOEE, TN 37361-3645
(423) 299-9435
(423) 299-9436

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
261QR1300X
Rural Health Clinic/Center
Primary
363LF0000X
Family Nurse Practitioner
APN15727
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
Q002302
TN
Enumeration date
05/21/2013
Last updated
11/08/2019
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