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Physicians Family Medicine

Provider NPI: 1417142092

Provider Information:
Gender: M
Sole Proprietor

Practice Location:
950 MAIN ST STE A  WARTBURG, TN 37887-4310 US
Tel: 423-346-2620  Fax: 423-346-2624

Business Mailing Address:
950 MAIN ST STE A  WARTBURG, TN 37887-4310 US
Tel: 423-346-2620  Fax: 423-346-2624

NPI Information:
NPI: 1417142092
Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
Family Medicine
Family Medicine
Family Medicine
Family Medicine
Family Medicine
Family Medicine
General Practice

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 207Q00000X





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