| Clarkrange Clinic Llc | |
|
6845 S York Hwy Clarkrange TN 38553-5154 | |
| (931) 863-5095 | |
| (931) 863-3530 |
| Full Name | Clarkrange Clinic Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 6845 S York Hwy, Clarkrange, Tennessee |
| Authorized Official Name and Position | Garry Wayne Burks (OWNER) |
| Authorized Official Contact | 9312676824 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clarkrange Clinic Llc 6845 S York Hwy Clarkrange TN 38553-5154 Ph: (931) 863-5095 | Clarkrange Clinic Llc 6845 S York Hwy Clarkrange TN 38553-5154 Ph: (931) 863-5095 |
| NPI Number | 1265901235 |
|---|---|
| Provider Enumeration Date | 11/19/2018 |
| Last Update Date | 11/19/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265901235 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Acute Care Clinic Clarkrange Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6845 S York Hwy, Clarkrange, TN 38553 Phone: 931-863-5095 Fax: 931-863-3530 |