| Watauga Lake Family Medicine Pc | |
|
140 Mcqueen St. Butler TN 37640 | |
| (423) 768-0195 | |
| Not Available |
| Full Name | Watauga Lake Family Medicine Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 140 Mcqueen St., Butler, Tennessee |
| Authorized Official Name and Position | Amy R. Miller (BUSINESS MANAGER) |
| Authorized Official Contact | 3369822158 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Watauga Lake Family Medicine Pc 138 N Fork New River Rd Lansing NC 28643-9130 Ph: (336) 982-2158 | Watauga Lake Family Medicine Pc 140 Mcqueen St. Butler TN 37640 Ph: (423) 768-0195 |
| NPI Number | 1457548406 |
|---|---|
| Provider Enumeration Date | 10/03/2007 |
| Last Update Date | 10/03/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457548406 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD0000041068 (Tennessee) | Primary |