Organization Name: | ATHENS WALK IN CLINIC |
NPI Number: | 1902186877 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JENNIFER BURCH (OFFICE MANAGER) |
Mailing Address: | 2324 Congress Pkwy S Athens |
State: | TN US |
Postal Code: | 373032820 |
Phone Number: | 4237452266 |
Fax Number: | 4237456260 |
NPI Enumeration Date: | 08/24/2011 |
NPI Last Update Date: | 08/24/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | MD14888 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |