SMOKEY MOUNTAIN MEDICAL LLC

JACKSBORO, TN
NPI1902627169
Entity TypeOrganization
Authorized ContactANTHONY KINGSLEY
Owner
423-592-0422
Organization Subpart ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
Enumeration Date2024-10-21
Last Update Date2024-11-05
Business Address
SMOKEY MOUNTAIN MEDICAL LLC
163 PERKINS LN
JACKSBORO, TN 37757-2833
Phone number: 423-592-0422
Mailing Address
SMOKEY MOUNTAIN MEDICAL LLC
163 PERKINS LN
JACKSBORO, TN 37757-2833
Phone number: 423-592-0422