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Eastlake Medical, Llc
Urgent Care Clinic/Center in Jacksboro, Tennessee
NPI 1467992446

Eastlake Medical, Llc is a Urgent Care Clinic/Center based in Jacksboro, TN and is specialized in Urgent Care. Eastlake Medical, Llc practices in Jacksboro, TN. The NPI Number for Eastlake Medical, Llc is 1467992446 and holds a License No. (Tennessee).

The current practice location address for Eastlake Medical, Llc is 2500 Jacksboro Pike Ste 6, Jacksboro, TN and can be reached out via phone at 423-352-6500 and via fax at 423-352-6501.

Location: 2500 Jacksboro Pike Ste 6, Jacksboro, TN, 37757
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1467992446
Provider Name
Eastlake Medical, Llc
Credential
Provider Entity Type
Organization
Address
2500 Jacksboro Pike Ste 6, Jacksboro, TN, 37757
Phone Number
423-352-6500
Fax Number
423-352-6501
Provider Enumeration Date
02/24/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
Q028641 05 TN
6065731 01 AETNA
institution
Provider Business Practice Location Address Details
Address
2500 Jacksboro Pike Ste 6
City
Jacksboro
State
Tennessee
Zip
37757-2818
Phone Number
423-352-6500
Fax Number
423-352-6501
person
Provider Business Mailing Address Details
Address
2500 Jacksboro Pike Ste 6
City
Jacksboro
State
Tennessee
Zip
37757-2818
Phone Number
423-352-6500
Fax Number
423-352-6501
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Urgent Care
Taxonomy
261QU0200X
License No.
(Tennessee)
Definition
Definition to come...
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