| Family Medical Care Center, Llc | |
| 7331 Tazewell Pike Corryton TN 37721-3516 | |
| (865) 687-3622 | |
| (865) 687-3632 | 
| Full Name | Family Medical Care Center, Llc | 
|---|---|
| Speciality | Nurse Practitioner - Family | 
| Location | 7331 Tazewell Pike, Corryton, Tennessee | 
| Authorized Official Name and Position | Jamie Bull (MANAGING MEMBER) | 
| Authorized Official Contact | 8656873622 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Family Medical Care Center, Llc 7331 Tazewell Pike Corryton TN 37721-3516 Ph: (865) 687-3622 | Family Medical Care Center, Llc 7331 Tazewell Pike Corryton TN 37721-3516 Ph: (865) 687-3622 | 
| NPI Number | 1508021890 | 
|---|---|
| Provider Enumeration Date | 07/25/2008 | 
| Last Update Date | 03/17/2015 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1508021890 | NPI | - | NPPES | 
| 1521139 | Medicaid | TN | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (Tennessee) | Secondary | 
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary | 
| Braden Family Medicine, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7701 Corryton Rd, Corryton, TN 37721 Phone: 865-247-6263 Fax: 865-247-6418 | |
| Family Practice Of Corryton Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7701 Corryton Rd, Corryton, TN 37721 Phone: 865-247-6263 Fax: 865-992-8103 | |
| Corryton Medical Center P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6310 Roberts Rd, Corryton, TN 37721 Phone: 865-688-8815 Fax: 865-688-8831 |