Organization
UNION FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNDY NICELY (PRACTICE MANAGER)
(865) 992-6060
Entity
Organization
Contact information
Practice address
598 JOHN DEERE DR, MAYNARDVILLE, TN 37807-3212
(865) 992-6060
(865) 992-7060
Mailing address
598 JOHN DEERE DR, MAYNARDVILLE, TN 37807-3212
(865) 992-6060
(865) 992-7060
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1510
TN
Other
Enumeration date
01/04/2011
Last updated
01/04/2011
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