Organization
HUMBOLDT FAMILY WALK-IN CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH L GRAVES MSN (OWNER)
(731) 470-4020
Entity
Organization
Contact information
Practice address
1600 COLEMAN DR, HUMBOLDT, TN 38343-1756
(731) 470-4020
(731) 562-0349
Mailing address
1600 COLEMAN DR, HUMBOLDT, TN 38343-0068
(731) 470-4020
(731) 562-0349
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/10/2017
Last updated
12/09/2019
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