| Organization Name: | CIRCE MEDICAL SERVICES LLC |
| NPI Number: | 1639447303 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARC VALLEY (MEDICAL DIRECTOR/OWNER) |
| Mailing Address: | 411 Princeton Rd. Suite 101 Johnson City |
| State: | TN US |
| Postal Code: | 37601 |
| Phone Number: | 4232821171 |
| Fax Number: | 4232821181 |
| NPI Enumeration Date: | 12/08/2011 |
| NPI Last Update Date: | 04/18/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 38667 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |