Organization
COLLEGE PARK WALK-IN CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERICK R YARID (OWNER)
(423) 307-1900
Entity
Organization
Contact information
Practice address
2104 E ANDREW JOHNSON HWY, MORRISTOWN, TN 37814-5412
(423) 307-1900
(423) 307-1902
Mailing address
2104 E ANDREW JOHNSON HWY, MORRISTOWN, TN 37814-5412
(423) 307-1900
(423) 307-1902
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
MD0000029767
TN
Other
Enumeration date
09/24/2007
Last updated
09/24/2007
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