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NPI Code Detail

MEDICARE: SMOKY MOUNTAIN URGENT CARE PC

MEDICARE: SMOKY MOUNTAIN URGENT CARE PC
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
1261QR1300XRural Health Clinic/Center

General Provider Information

NPI Number : 1932771466
Entity Type Code : Organization
Provider Name (Legal Business Name) : SMOKY MOUNTAIN URGENT CARE PC
Provider Business Mailing Address
First Line : PO BOX 2029
Second Line :
City : BRYSON CITY
State : NC
Zip : 28713-5029
Country : US
Telephone Number : 828-538-4546
Fax Number :
Provider Business Practice Location Address
First Line : 21 S MAIN ST
Second Line :
City : ROBBINSVILLE
State : NC
Zip : 28771-9054
Country : US
Telephone Number : 828-479-7682
Fax Number : 828-479-7683
Authorized Official
Title or Position : PRESIDENT
Name : DAVID RANDALL CASTOR
Credential :
Telephone Number : 828-538-4546
Provider Enumeration Date : 07/14/2021
Last Update Date : 07/14/2021

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Directions to “SMOKY MOUNTAIN URGENT CARE PC ” Practice Location

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