Mobile Occ Med and Wellness, Pllc

NPI #1104327360 in Bulls Gap, Tennessee

Provider Information

NPI Number
1104327360
Entity Type
Organization
Organization Name
Mobile Occ Med and Wellness, Pllc
Primary Specialty
Community/Behavioral Health
Enumeration Date
Feb 23, 2018
Last Updated
Feb 23, 2018

Practice Location

Address
273 HIGHWAY 11 E
ZIP Code
37711-3433
Phone
(423) 676-8400

Authorized Official

Name
CHARLES L BACKUS III, DO
Title
MEDICAL DIRECTOR
Phone
(423) 676-8400

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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