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1902627169
SMOKEY MOUNTAIN MEDICAL LLC
JACKSBORO, TN
NPI
1902627169
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Entity Type
Organization
Authorized Contact
ANTHONY KINGSLEY
Owner
423-592-0422
Organization Subpart ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
Enumeration Date
2024-10-21
Last Update Date
2024-11-05
Business Address
SMOKEY MOUNTAIN MEDICAL LLC
163 PERKINS LN
JACKSBORO, TN 37757-2833
Phone number: 423-592-0422
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Mailing Address
SMOKEY MOUNTAIN MEDICAL LLC
163 PERKINS LN
JACKSBORO, TN 37757-2833
Phone number: 423-592-0422
Copy
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