SOUTHERN ALLERGY AND MEDICAL CLINIC, INC.

NEW TAZEWELL, TN
NPI1417513177
Entity TypeOrganization
Authorized ContactSASHA LASHEA' BUSSELL
Owner
423-489-5841
Organization Subpart ?No
Primary Taxonomy207KA0200X Allergy & Immunology, Allergy
Additional Taxonomies261QP2300X Clinic/Center, Primary Care
363A00000X Physician Assistant
Enumeration Date2019-05-17
Last Update Date2019-05-17
Business Address
SOUTHERN ALLERGY AND MEDICAL CLINIC, INC.
109 MAIN ST
NEW TAZEWELL, TN 37825-6635
Phone number: 423-259-5704
Mailing Address
SOUTHERN ALLERGY AND MEDICAL CLINIC, INC.
PO BOX 69
NEW TAZEWELL, TN 37824-0069
Phone number: 423-259-5704