| Organization Name: | AFTER WORK FAMILY MEDICINE LLC |
| NPI Number: | 1710312509 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | EARL DAN BEMBRY (OWNER) |
| Mailing Address: | 4940 Highway 33 S New Tazewell |
| State: | TN US |
| Postal Code: | 378252631 |
| Phone Number: | 1423526000 |
| Fax Number: | |
| NPI Enumeration Date: | 09/11/2013 |
| NPI Last Update Date: | 09/17/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 0000011921 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |