| East Tn Physicians Care | |
|
5917 Rutledge Pike Knoxville TN 37924-2252 | |
| (865) 525-2121 | |
| (865) 525-7892 |
| Full Name | East Tn Physicians Care |
|---|---|
| Speciality | Family Medicine |
| Location | 5917 Rutledge Pike, Knoxville, Tennessee |
| Authorized Official Name and Position | John B. Mcstay (CLINIC DIRECTOR) |
| Authorized Official Contact | 8655252121 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East Tn Physicians Care 5917 Rutledge Pike Knoxville TN 37924-2252 Ph: (865) 525-2121 | East Tn Physicians Care 5917 Rutledge Pike Knoxville TN 37924-2252 Ph: (865) 525-2121 |
| NPI Number | 1023288867 |
|---|---|
| Provider Enumeration Date | 03/07/2008 |
| Last Update Date | 03/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023288867 | NPI | - | NPPES |
| 3016063 | Medicaid | TN | |
| CH7990 | Other | TN | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD16150 (Tennessee) | Primary |
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