Organization
NEIGHBORHOOD MEDICAL LLC
Active
Other names
Neighborhood Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELISSA JOYNER (OWNER)
(423) 404-1994
Entity
Organization
Contact information
Practice address
2702 JACKSBORO PIKE, SUITE B, JACKSBORO, TN 37757-4850
(423) 201-9937
Mailing address
PO BOX 786, JACKSBORO, TN 37757-0786
(423) 201-9854
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q010153
—
TN
Enumeration date
02/12/2014
Last updated
04/25/2019
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