Organization · Type 2 NPI
Class 'a' Clinic LLC
Adult Medicine Physician · Newport, TN
NPI number
1073095154
Active
Practice location
833 W Highway 25 70 Ste D
Newport, TN 37821-8045
Fax (423) 301-5756
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Medicine Physician Primary | 207QA0505X | 16835 (TN) |
| Clinic/Center | 261Q00000X | None listed |
| Primary Care Clinic/Center | 261QP2300X | None listed |
Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.
Another provider at this address
About NPI 1073095154
Class 'a' Clinic LLC's National Provider Identifier is 1073095154, issued on Sep 5, 2018. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Newport, TN. The record was last updated on Jun 6, 2025.