| Complete Family Care Of Maryville, Pllc | |
|
2004 E. Broadway Maryville TN 37804 | |
| (865) 982-4301 | |
| Not Available |
| Full Name | Complete Family Care Of Maryville, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2004 E. Broadway, Maryville, Tennessee |
| Authorized Official Name and Position | Andrew O. Sugantharais (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8659824301 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Complete Family Care Of Maryville, Pllc 2004 E. Broadway Maryville TN 37804 Ph: (865) 982-4301 | Complete Family Care Of Maryville, Pllc 2004 E. Broadway Maryville TN 37804 Ph: (865) 982-4301 |
| NPI Number | 1184932485 |
|---|---|
| Provider Enumeration Date | 09/21/2010 |
| Last Update Date | 09/21/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184932485 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25789 (Tennessee) | Primary |
Michael Wall, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 362 High St, Maryville, TN 37804 Phone: 865-413-1589 Fax: 865-205-9475 | |
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