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Contact Information

1 TEAM CLINIC LLC
199 POTTERTOWN RD
MIDWAY, TN37809-3213
 Phone: 423-422-4454
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for 1 TEAM CLINIC LLC · (Female)

NPI # 1578000410
Status Active
Credentials
Entity Individual
Enumeration date 01/31/2017
Last updated 01/31/2017 - About 9 years ago
Sole proprietor 1 Not specified
Identifiers
  • TN License # 1043217352
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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