Organization · Type 2 NPI

Southern Medical Clinics, LLC

Primary Care Clinic/Center · Cleveland, TN

NPI number 1508824749 Active

Practice location

2384 Blue Springs Rd SE
Cleveland, TN 37311-0909

Fax (423) 728-1925

Mailing address

PO Box 2515
Cleveland, TN 37320-2515

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center Primary 261QP2300XMD31732 (TN)
Physician Assistant 363A00000XPA753 (TN)

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About NPI 1508824749

Southern Medical Clinics, LLC's National Provider Identifier is 1508824749, issued on May 3, 2006. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Cleveland, TN. The record was last updated on Jun 5, 2014.