Mercy Primary Care of Lenior City

NPI #1063716066 in Lenoir City, Tennessee

Provider Information

NPI Number
1063716066
Entity Type
Organization
Organization Name
Mercy Primary Care of Lenior City
Subpart
Yes (part of a larger organization)
Parent Organization
MERCY PHYSICIAN SERVICES, LLC
Primary Specialty
Clinic/Center
Enumeration Date
Jan 5, 2011
Last Updated
Jan 11, 2011

Practice Location

Address
501 ADESA BLVD STE 300
ZIP Code
37771-6863
Phone
(865) 987-8692

Authorized Official

Name
SUSANNE NELMS
Title
EXECUTIVE DIRECTOR
Phone
(865) 549-4892

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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