| Organization Name: | VELOCITY MEDICAL LLC |
| NPI Number: | 1013352269 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MATTHEW MEYERS (CEO) |
| Mailing Address: | 2702 Jacksboro Pike Jacksboro |
| State: | TN US |
| Postal Code: | 377570787 |
| Phone Number: | 4232019937 |
| Fax Number: | 4233741217 |
| NPI Enumeration Date: | 05/01/2013 |
| NPI Last Update Date: | 05/01/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QU0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Urgent Care |
| Taxonomy Definition: | |