Organization Name: | SMOKY MOUNTAIN URGENT CARE |
NPI Number: | 1114234382 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOSEPH MICHAEL ROTHWELL (PRESIDENT) |
Mailing Address: | 1017 Middle Creek Rd Sevierville |
State: | TN US |
Postal Code: | 378622940 |
Phone Number: | 8654282773 |
Fax Number: | |
NPI Enumeration Date: | 09/08/2010 |
NPI Last Update Date: | 11/22/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QX0100X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Occupational Medicine |
Taxonomy Definition: |