MEDICARE: COLLEGE PARK WALK-IN CLINIC

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
1	302R00000X	Health Maintenance Organization	MD0000029767	TN

General Provider Information

NPI Number	:	1881880854
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COLLEGE PARK WALK-IN CLINIC

Provider Business Mailing Address
First Line	:	2104 E ANDREW JOHNSON HWY
Second Line	:
City	:	MORRISTOWN
State	:	TN
Zip	:	37814-5412
Country	:	US
Telephone Number	:	423-307-1900
Fax Number	:	423-307-1902

Provider Business Practice Location Address
First Line	:	2104 E ANDREW JOHNSON HWY
Second Line	:
City	:	MORRISTOWN
State	:	TN
Zip	:	37814-5412
Country	:	US
Telephone Number	:	423-307-1900
Fax Number	:	423-307-1902

Authorized Official
Title or Position	:	OWNER
Name	:	FREDERICK R YARID
Credential	:
Telephone Number	:	423-307-1900

Provider Enumeration Date	:	09/24/2007
Last Update Date	:	09/24/2007

Similar Medicare Providers

1174602338 — COLLEGE PARK WALK-IN CLINIC, LLC
Practice Location Address:

2104 E ANDREW JOHNSON HWY
MORRISTOWN, TN
37814-5412

Practice Phone: 423-318-6093
Practice Fax: 423-318-6297

1275676173 — MR. JOSEPH T HUNTSMAN RPH
Practice Location Address:

2106 E ANDREW JOHNSON HWY
MORRISTOWN, TN
37814-5412

Practice Phone: 423-586-0721
Practice Fax: 423-587-5419

1720121643 — JJ BEANS LLC
Practice Location Address:

2106 E ANDREW JOHNSON HWY
MORRISTOWN, TN
37814-5412

Practice Phone: 423-586-0721
Practice Fax: 423-587-5419

1669515946 — ROBERT M BARBER RPH.
Practice Location Address:

2106 E ANDREW JOHNSON HWY
MORRISTOWN, TN
37814-5412

Practice Phone: 423-586-0721
Practice Fax: 423-587-5419

1871786582 — MS. LAURA H EVANS APN
Practice Location Address:

2104 E ANDREW JOHNSON HWY
MORRISTOWN, TN
37814-5412

Practice Phone: 423-307-1900
Practice Fax: 423-307-1902

1205015328 — COLLEGE PARK PHARMACY
Practice Location Address:

2106 E ANDREW JOHNSON HWY
MORRISTOWN, TN
37814-5412

Practice Phone: 423-586-0721
Practice Fax: 423-587-5419

Directions to “COLLEGE PARK WALK-IN CLINIC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.