Family Practice of Corryton

NPI #1245752997 in Corryton, Tennessee

Provider Information

NPI Number: 1245752997
Entity Type: Organization
Organization Name: Family Practice of Corryton
Primary Specialty: Family Medicine
Enumeration Date: Jul 14, 2017
Last Updated: Jul 14, 2017

Practice Location

Address: 7701 CORRYTON RD
City: Corryton
State: Tennessee
ZIP Code: 37721-2630
Phone: (865) 247-6263

Authorized Official

Name: KIM M DAUGHERTY
Title: OFFICE MANAGER
Phone: (865) 992-3031

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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