| Clary Foote Md P.c. | |
|
2319 S Roane St Harriman TN 37748-8653 | |
| (865) 882-2800 | |
| (865) 882-3512 |
| Full Name | Clary Foote Md P.c. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 2319 S Roane St, Harriman, Tennessee |
| Authorized Official Name and Position | Clary Parker Foote (MD/PRESIDENT) |
| Authorized Official Contact | 8658822800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clary Foote Md P.c. 2319 S Roane St Harriman TN 37748-8653 Ph: (865) 882-2800 | Clary Foote Md P.c. 2319 S Roane St Harriman TN 37748-8653 Ph: (865) 882-2800 |
| NPI Number | 1043241417 |
|---|---|
| Provider Enumeration Date | 07/05/2006 |
| Last Update Date | 07/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043241417 | NPI | - | NPPES |
| 3850330 | Other | TN | MEDICARE ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 11820 (Tennessee) | Primary |
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