EAST TN FAMILY CARE LLC NPI 1134473655

NPI Information

  • NPI: 1134473655
  • Provider Name: EAST TN FAMILY CARE LLC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 1548 PARKWAY
    SUITE 201
    SEVIERVILLE, TN
    ZIP 37862
  • Phone: (865) 429-0208

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NPI Details

EAST TN FAMILY CARE LLC is a primary care clinic center in Sevierville, TN. EAST TN FAMILY CARE LLC NPI is 1134473655. The provider is registered as an organization entity type.

The provider's business location address is:

1548 PARKWAY
SUITE 201
SEVIERVILLE, TN
ZIP 37862-019
Phone: (865) 429-0208
Fax: (865) 429-0202

The provider's authorized official is Robert Mickey Maughon .
The authorized official title is Owner/physician and has the following contact phone number (865) 429-0208.

The enumeration date for this NPI number is 11/6/2012 and was last updated on 11/6/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary CareMD16795TENNESSEEYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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