FOUNTAIN OF YOUTH MEDICAL LLC

KNOXVILLE, TN
NPI1396216339
Entity TypeOrganization
Authorized ContactGENEVA LYNNE WORTHINGTON
Fnp C
865-392-1500
Organization Subpart ?No
Primary Taxonomy363L00000X Nurse Practitioner
Enumeration Date2018-12-17
Last Update Date2019-03-06
Business Address
FOUNTAIN OF YOUTH MEDICAL LLC
135 LOVELL RD
KNOXVILLE, TN 37934-1904
Phone number: 865-392-1400
Mailing Address
FOUNTAIN OF YOUTH MEDICAL LLC
135 LOVELL RD
KNOXVILLE, TN 37934-1904
Phone number: 865-392-1500
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