National Provider Identifier Database

HEARTLAND MEDICAL PC
Primary Care


Contact Information

HEARTLAND MEDICAL P.C.
309 N BROAD ST
NEW TAZEWELL, TN37825-6600
Phone: 423-626-7297
Fax: 423-851-4704
Website:
Specialty Taxonomy Code
* Primary Care 261QP2300X
Rural Health 261QR1300X

* Indicates primary specialty

NPI Profile & details for HEARTLAND MEDICAL P.C.

NPI Number 1508965682
Legal business name
LBN
HEARTLAND MEDICAL P.C.
Authorized official PAT FUGATE - (CREDENTIALING)
Entity Organization
Organization subpart No
Enumeration date 09/22/2006
Last updated 07/18/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • TN Medicaid: 3715984

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.

Reviews for HEARTLAND MEDICAL P.C.

There are currently no reviews for HEARTLAND MEDICAL P.C.


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