1 TEAM CLINIC LLC; NPI #1578000410

Contact Information

1 TEAM CLINIC LLC

199 POTTERTOWN RD
MIDWAY, TN 37809-3213

Phone: 423-422-4454
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Family	363LF0000X	50	Nurse Practitioner

Indicates primary specialty

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NPI Profile & details for 1 TEAM CLINIC LLC

NPI # 1578000410

LBN Legal business name 1 TEAM CLINIC LLC

Authorized official CHARLES DOTY - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 01/31/2017

Last updated 01/31/2017 - About 9 years ago

Identifiers

License #

1043217352

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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1 TEAM CLINIC LLC

Contact Information

Specialty

Family

NPI Profile & details for 1 TEAM CLINIC LLC

Reviews for 1 TEAM CLINIC LLC