Organization
BULLS GAP MEDICAL AND WALK IN CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDY HENEGAR (OFFICE ADMINISTRATOR)
(423) 393-4146
Entity
Organization
Contact information
Practice address
273 HIGHWAY 11 E STE A, BULLS GAP, TN 37711-3434
(423) 393-4146
(423) 393-4377
Mailing address
273 HIGHWAY 11 E STE A, BULLS GAP, TN 37711-3434
(423) 393-4146
(423) 393-4377
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
06/19/2020
Last updated
06/19/2020
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