MAIN STREET FAMILY PRACTICE

BULLS GAP, TN
NPI1568706828
Entity TypeOrganization
Authorized ContactMICHELLE D CATE
Owner
423-393-4212
Organization Subpart ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TN  12848)
Enumeration Date2012-11-26
Last Update Date2012-11-26
Business Address
MAIN STREET FAMILY PRACTICE
113 N MAIN ST
BULLS GAP, TN 37711-4735
Phone number: 423-393-4212
Mailing Address
MAIN STREET FAMILY PRACTICE
113 N MAIN ST
BULLS GAP, TN 37711-4735
Phone number: 423-393-4212