Gainesboro Ultimate Med Service Corporation
NPI #1861704587 in Gainesboro, Tennessee
Provider Information
- NPI Number
- 1861704587
- Entity Type
- Organization
- Organization Name
- Gainesboro Ultimate Med Service Corporation
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Jul 10, 2010
- Last Updated
- Jul 10, 2010
Practice Location
- Address
- 179 BUCK BRANCH LN
- City
- Gainesboro
- State
- Tennessee
- ZIP Code
- 38562
- Phone
- (931) 303-0012
Authorized Official
- Name
- MR. YENNIER CAPOTE
- Title
- PRESIDENT
- Phone
- (931) 303-0012
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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