Organization · Type 2 NPI
TLC Mobile Clinic, LLC
Adult Medicine Physician · Erwin, TN
NPI number
1215625504
Active
Practice location
111 N Main Ave
Erwin, TN 37650-1255
Fax (423) 220-3211
Mailing address
PO Box 293
Erwin, TN 37650-0293
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Medicine Physician Primary | 207QA0505X | None listed |
Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.
About NPI 1215625504
TLC Mobile Clinic, LLC's National Provider Identifier is 1215625504, issued on Apr 26, 2023. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Erwin, TN. The record was last updated on Apr 26, 2023.