Community Care Clinic LLC

NPI #1699946103 in Cleveland, Tennessee

Provider Information

NPI Number: 1699946103
Entity Type: Organization
Organization Name: Community Care Clinic LLC
Primary Specialty: Family Medicine
Enumeration Date: Mar 13, 2008
Last Updated: Mar 13, 2008

Practice Location

Address: 4867 HIGHWAY 411
City: Cleveland
State: Tennessee
ZIP Code: 37323-5360
Phone: (423) 338-7434

Authorized Official

Name: WENDY L BECK, NP-C
Title: PRACTICIONER/OWNER
Phone: (423) 338-7434

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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