| Rocky Top Family Med, Inc | |
|
124 Noland Road Morresburg TN 37811-4400 | |
| (606) 335-2140 | |
| Not Available |
| Full Name | Rocky Top Family Med, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 124 Noland Road, Morresburg, Tennessee |
| Authorized Official Name and Position | Joshua Proffitt (OWNER) |
| Authorized Official Contact | 6063352140 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rocky Top Family Med, Inc 139 Repass Rd Mooresburg TN 37811-5520 Ph: () - | Rocky Top Family Med, Inc 124 Noland Road Morresburg TN 37811-4400 Ph: (606) 335-2140 |
| NPI Number | 1942027727 |
|---|---|
| Provider Enumeration Date | 09/24/2024 |
| Last Update Date | 09/24/2024 |
| Medicare PECOS PAC ID | 5799205316 |
|---|---|
| Medicare Enrollment ID | O20250225003478 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942027727 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| Provider Name | Joshua Proffitt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831650779 PECOS PAC ID: 2567851330 Enrollment ID: I20250225003689 |
Rocky Top Family Med, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 124 Noland Road, Morresburg, TN 37811 Phone: 606-335-2140 |