Organization
LECONTE FAMILY PRACTICE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LINDA DIANA CARTER R.N. (SECRETARY/TREASURER)
(865) 453-2806
Entity
Organization
Contact information
Practice address
300 PRINCE ST, SEVIERVILLE, TN 37862-3823
(865) 453-2806
Mailing address
PO BOX 4310, SEVIERVILLE, TN 37864-4310
(865) 453-2806
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
MD30020
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3079526
BLUE CROSS NUMBER
TN
05
—
3378953
—
TN
Enumeration date
10/31/2006
Last updated
10/26/2010
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