Tazewell Medical Clinic, Inc.

NPI #1417001645 in Tazewell, Tennessee

Provider Information

NPI Number
1417001645
Entity Type
Organization
Organization Name
Tazewell Medical Clinic, Inc.
Primary Specialty
Clinic/Center
Enumeration Date
Jan 23, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
1442 N BROAD ST
Address 2
SUITE 7
ZIP Code
37879-4361
Phone
(423) 626-6145

Authorized Official

Name
RONDAL KEITH BROCK, P.A.C.
Title
PRESIDENT
Phone
(423) 626-6145

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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