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NPI Code Detail

MEDICARE: MOUNTAIN VIEW FAMILY MEDICINE PLLC

MEDICARE: MOUNTAIN VIEW FAMILY MEDICINE PLLC
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
1207QA0505XAdult Medicine Physician

General Provider Information

NPI Number : 1629139118
Entity Type Code : Organization
Provider Name (Legal Business Name) : MOUNTAIN VIEW FAMILY MEDICINE PLLC
Provider Business Mailing Address
First Line : 9309 APISON PIKE
Second Line :
City : OOLTEWAH
State : TN
Zip : 37363-4340
Country : US
Telephone Number : 423-778-9701
Fax Number : 423-778-9713
Provider Business Practice Location Address
First Line : 9309 APISON PIKE
Second Line :
City : OOLTEWAH
State : TN
Zip : 37363-4340
Country : US
Telephone Number : 423-778-9701
Fax Number : 423-778-9713
Authorized Official
Title or Position : BILLING / INSURANCE
Name : MRS. MICHELLE V. PADGETT
Credential :
Telephone Number : 423-778-9906
Provider Enumeration Date : 12/12/2006
Last Update Date : 07/16/2014

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Directions to “MOUNTAIN VIEW FAMILY MEDICINE PLLC ” Practice Location

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