CORRYTON MEDICAL CENTER P.C. NPI 1588851190

NPI Information

CORRYTON MEDICAL CENTER P.C. is a primary care clinic center in Corryton, TN. CORRYTON MEDICAL CENTER P.C. NPI is 1588851190. The provider is registered as an organization entity type.

The provider's business location address is:

6310 ROBERTS RD
CORRYTON, TN
ZIP 37721-627
Phone: (865) 688-8815
Fax: (865) 688-8831

The provider's authorized official is Kalpesh D. Parikh .
The authorized official title is Physician/president and has the following contact phone number (865) 688-8815.

The CLIA number assigned to this NPI record is 44D0678435 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/27/2007 and was last updated on 1/10/2008.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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