Organization
GAINESBORO ULTIMATE MED SERVICE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. YENNIER CAPOTE (PRESIDENT)
(931) 303-0012
Entity
Organization
Contact information
Practice address
179 BUCK BRANCH LN, GAINESBORO, TN 38562
(931) 303-0012
(931) 241-5444
Mailing address
179 BUCK BRANCH LN, GAINESBORO, TN 38562
(931) 303-0012
(931) 241-5444
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/10/2010
Last updated
07/10/2010
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