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Cumberland Gap Medical
Family Nurse Practitioner in La Follette, Tennessee
NPI 1336563204

Cumberland Gap Medical is a Family Nurse Practitioner based in La Follette, TN and is specialized in Family. Cumberland Gap Medical practices in La Follette, TN. The NPI Number for Cumberland Gap Medical is 1336563204 and holds a License No. APN0000016605 (Tennessee).

The current practice location address for Cumberland Gap Medical is 502 W Central Ave, La Follette, TN and can be reached out via phone at 423-201-9799 and via fax at 423-437-8162.

Location: 502 W Central Ave, La Follette, TN, 37766-3400
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1336563204
Provider Name
Cumberland Gap Medical
Credential
Provider Entity Type
Organization
Address
502 W Central Ave, La Follette, TN, 37766-3400
Phone Number
423-201-9799
Fax Number
423-437-8162
Provider Enumeration Date
02/12/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
502 W Central Ave
City
La Follette
State
Tennessee
Zip
37766-3400
Phone Number
423-201-9799
Fax Number
423-437-8162
person
Provider Business Mailing Address Details
Address
502 W Central Ave
City
La Follette
State
Tennessee
Zip
37766-3400
Phone Number
423-201-9799
Fax Number
423-437-8162
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
APN0000016605 (Tennessee)
Definition
Definition to come...
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