| NPI | 1669753042 |
|---|---|
| Doing Business As | MOUNTAIN MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | KATHY TEAGUE A VP, Secretary 615-920-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse |
| Enumeration Date | 2011-08-30 |
| Last Update Date | 2021-10-11 |