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NPI Profile for AFTER WORK FAMILY MEDICINE LLC in NEW TAZEWELL, TN.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner |
| NPI # | 1710312509 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 09/11/2013 | |
| Last updated | 09/17/2013 - About 13 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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AFTER WORK FAMILY MEDICINE LLC
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AFTER WORK FAMILY MEDICINE LLC