Organization
SMOKY MOUNTAIN PRIMARY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY L CHAMBERS FNP (OWNER)
(856) 405-1740
Entity
Organization
Contact information
Practice address
1620 E LAMAR ALEXANDER PKWY, MARYVILLE, TN 37804-6205
(865) 405-1740
Mailing address
1620 E LAMAR ALEXANDER PKWY, MARYVILLE, TN 37804-6205
(865) 405-1740
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
16537
TN
Other
Enumeration date
03/10/2018
Last updated
03/10/2018
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