NPI | 1487756755 |
---|---|
Doing Business As | COMMUNITY CARE WALK IN CLINIC |
Entity Type | Organization |
Authorized Contact | DOUGLAS MARLEY CLARK Owner 865-590-0072 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2006-09-05 |
Last Update Date | 2020-08-22 |