Lafollette General Surgery

NPI #1366677585 in Lafollette, Tennessee

Provider Information

NPI Number: 1366677585
Entity Type: Organization
Organization Name: Lafollette General Surgery
Subpart: Yes (part of a larger organization)
Parent Organization: MERCY PHYSICAINS SERVICES, LLC
Primary Specialty: Clinic/Center
Enumeration Date: May 18, 2009
Last Updated: Feb 5, 2010

Practice Location

Address: 919 E CENTRAL AVE
Address 2: SUITE 201
City: Lafollette
State: Tennessee
ZIP Code: 37766-2777
Phone: (423) 907-1680

Authorized Official

Name: SUSANNE NELMS
Title: PRACTICE ADMINISTRATOR/DIRECTOR
Phone: (865) 549-4892

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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