| Concord Family Practice | |
|
10430 Lovell Center Dr Knoxville TN 37922-3227 | |
| (865) 693-6620 | |
| (865) 693-2909 |
| Full Name | Concord Family Practice |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 10430 Lovell Center Dr, Knoxville, Tennessee |
| Authorized Official Name and Position | Logan Dameron (NP-C; OWNER) |
| Authorized Official Contact | 4233602383 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Concord Family Practice 5835 Wall Flower Ln Knoxville TN 37924-1599 Ph: (423) 360-2383 | Concord Family Practice 10430 Lovell Center Dr Knoxville TN 37922-3227 Ph: (865) 693-6620 |
| NPI Number | 1588409585 |
|---|---|
| Provider Enumeration Date | 07/01/2024 |
| Last Update Date | 07/01/2024 |
| Certification Date | 06/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588409585 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (NU) | Primary |
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