| NPI | 1326441270 |
|---|---|
| Doing Business As | THE CLINIC AT SURGOINSVILLE |
| Doing Business As | SURGOINSVILLE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | BETH BRYAN Owner 423-345-0333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: TN 4667) |
| Enumeration Date | 2014-10-07 |
| Last Update Date | 2022-03-11 |