Internal Medicine Associates Of Mcminn County Pc
LBN: Internal Medicine Associates Of Mcminn County Pc
Internal Medicine Associates Of Mcminn County Pc is an health care organization with primary practice located at 301 Grady Road , Etowah TN 37331-0325. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Internal Medicine Associates Of Mcminn County Pc can be contacted via phone (423) 263-2444, or through Watters, Russell Brandon via phone (423) 263-2444.
Contact Information
Primary practice address
301 Grady Road
Etowah TN 37331-0325
Phone: (423) 263-2444
Fax: (423) 263-1553
Website:
Authorized official contact:
Name: Watters, Russell Brandon Doctor of Medicine (MD)
Phone: (423) 263-2444
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 025977 | Tennessee |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 029515 | Tennessee |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 023529 | Tennessee |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 023767 | Tennessee |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 39591 | Tennessee |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 025977 | Tennessee |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207RS0010X | 39591 | Tennessee |
Profile Details
| NPI number | 1952367187 |
|---|---|
| LBN Legal business name | Internal Medicine Associates Of Mcminn County Pc |
| DBA Doing business as | |
| Authorized official | Watters, Russell Brandon Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 25th, 2006 |
| Last updated | Dec 14th, 2009 - about 17 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952367187 | NPPES |
| Tennessee | Other | CE0552 | MEDICARE RR |
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