East Tn Family Care LLC
NPI #1134473655 in Sevierville, Tennessee
Provider Information
- NPI Number
- 1134473655
- Entity Type
- Organization
- Organization Name
- East Tn Family Care LLC
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Nov 6, 2012
- Last Updated
- Nov 6, 2012
Practice Location
- Address
- 1548 PARKWAY
- Address 2
- SUITE 201
- City
- Sevierville
- State
- Tennessee
- ZIP Code
- 37862-4019
- Phone
- (865) 429-0208
Authorized Official
- Name
- DR. ROBERT MICKEY MAUGHON, M.D.
- Title
- OWNER/PHYSICIAN
- Phone
- (865) 429-0208
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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