Organization
MEDICAL CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE A RANKIN (CREDENTIALING DEPT)
(423) 431-0509
Entity
Organization
Contact information
Practice address
1500 W ELK AVE, ELIZABETHTON, TN 37643-2654
(423) 431-0509
(423) 722-2060
Mailing address
401 E MAIN ST, JOHNSON CITY, TN 37601-4877
(423) 929-2584
(423) 722-2060
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1512986
—
TN
Enumeration date
01/07/2009
Last updated
10/25/2022
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