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NPI Code Detail

MEDICARE: QUALITY MEDICAL CENTER OF UNION COUNTY

MEDICARE: QUALITY MEDICAL CENTER OF UNION COUNTY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAPN0000014690TN

General Provider Information

NPI Number : 1376898734
Entity Type Code : Organization
Provider Name (Legal Business Name) : QUALITY MEDICAL CENTER OF UNION COUNTY
Provider Business Mailing Address
First Line : PO BOX 316
Second Line :
City : CORRYTON
State : TN
Zip : 37721-0316
Country : US
Telephone Number : 865-992-3031
Fax Number :
Provider Business Practice Location Address
First Line : 7701 CORRYTON RD
Second Line :
City : CORRYTON
State : TN
Zip : 37721-2630
Country : US
Telephone Number : 865-992-3031
Fax Number : 865-992-8103
Authorized Official
Title or Position : OFFICE MANAGER
Name : KRISTI S WALKER
Credential :
Telephone Number : 865-992-3031
Provider Enumeration Date : 07/20/2012
Last Update Date : 08/11/2016

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Directions to “QUALITY MEDICAL CENTER OF UNION COUNTY ” Practice Location

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