FAMILY MEDICINE WEST PLLC NPI 1902292865

NPI Information

FAMILY MEDICINE WEST PLLC is a rural health clinic center in Wartburg, TN. FAMILY MEDICINE WEST PLLC NPI is 1902292865. The provider is registered as an organization entity type.
The provider Is Doing Business As Family Medicine West Of Wartburg.

The provider's business location address is:

1236 KNOXVILLE HWY
SUITE 500
WARTBURG, TN
ZIP 37887-200
Phone: (423) 346-5566
Fax: (423) 346-5631

The provider's authorized official is Sanjay P Thankur .
The authorized official title is Md/president and has the following contact phone number (423) 346-5566.

The CLIA number assigned to this NPI record is 44D2048018 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/7/2015 and was last updated on 4/7/2015.

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:

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