| Tlc Mobile Clinic, LLC | |
|
111 N Main Ave Erwin TN 37650-1255 | |
| (423) 491-9741 | |
| (423) 220-3211 |
| Full Name | Tlc Mobile Clinic, LLC |
|---|---|
| Speciality | Family Medicine - Adult Medicine |
| Location | 111 N Main Ave, Erwin, Tennessee |
| Authorized Official Name and Position | Terri Lynn Woodruff (APN/ OWNER) |
| Authorized Official Contact | 4234919741 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tlc Mobile Clinic, LLC Po Box 293 Erwin TN 37650-0293 Ph: (423) 491-9741 | Tlc Mobile Clinic, LLC 111 N Main Ave Erwin TN 37650-1255 Ph: (423) 491-9741 |
| NPI Number | 1215625504 |
|---|---|
| Provider Enumeration Date | 04/26/2023 |
| Last Update Date | 04/26/2023 |
| Certification Date | 04/25/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215625504 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | () | Primary |
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