Okies Clinical Services LLC

NPI #1063180750 in Blaine, Tennessee

Provider Information

NPI Number: 1063180750
Entity Type: Organization
Organization Name: Okies Clinical Services LLC
Primary Specialty: Family Medicine
Enumeration Date: Aug 30, 2021
Last Updated: Sep 22, 2021

Practice Location

Address: 1050 RUTLEDGE PIKE
City: Blaine
State: Tennessee
ZIP Code: 37709-3027
Phone: (423) 200-6966

Authorized Official

Name: MICAH CRAINE, PHARMD
Title: OWNER/AUTHORIZED OFFICIAL
Phone: (423) 200-6966

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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