Organization
FAMILY HEALTHCARE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MURUGASAN DHANDAPANI M.D. (OWNER)
(423) 566-4748
Entity
Organization
Contact information
Practice address
1030 WINTER GAP RD, OLIVER SPRINGS, TN 37840-1504
(423) 562-4976
Mailing address
2425 JACKSBORO PIKE, LA FOLLETTE, TN 37766-2908
(423) 562-4976
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD34646
TN
Other
Enumeration date
03/23/2012
Last updated
03/22/2022
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