| Hearland Medical P C | |
|
170 Beech Street Suite 1 Harrogate TN 37752 | |
| (423) 626-7297 | |
| (423) 851-4704 |
| Full Name | Hearland Medical P C |
|---|---|
| Speciality | Pediatrics |
| Location | 170 Beech Street, Harrogate, Tennessee |
| Authorized Official Name and Position | Pat G Fugate (CREDENTIALING) |
| Authorized Official Contact | 4236267297 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hearland Medical P C 309 N Broad St New Tazewell TN 37825-6600 Ph: (423) 626-7297 | Hearland Medical P C 170 Beech Street Suite 1 Harrogate TN 37752 Ph: (423) 626-7297 |
| NPI Number | 1306938352 |
|---|---|
| Provider Enumeration Date | 09/28/2006 |
| Last Update Date | 09/11/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306938352 | NPI | - | NPPES |
| 3715983 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Primary |
Family Medical Clinic Of Harrogate, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 170 Beech St Ste 1, Harrogate, TN 37752 Phone: 423-869-3684 Fax: 423-869-5460 |