Family And Sports Medicine Pc

LBN: Family And Sports Medicine Pc
Family And Sports Medicine Pc is an health care organization with primary practice located at 1025 Executive Dr Suite 100, Hixson TN 37343-7916. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Family And Sports Medicine Pc can be contacted via phone (423) 870-2030, or through Wilcox, Kirk Alexander via phone (423) 870-2030.

Contact Information

Primary practice address
1025 Executive Dr Suite 100 Hixson TN 37343-7916
Phone: (423) 870-2030
Fax: (423) 875-6405
Website:
Map and Directions
Authorized official contact:
Name: Wilcox, Kirk Alexander Doctor of Medicine (MD)
Phone: (423) 870-2030

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1588657977
LBN Legal business name Family And Sports Medicine Pc
DBA Doing business as
Authorized official Wilcox, Kirk Alexander Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2005
Last updated Mar 22nd, 2011 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1588657977 NPPES
Tennessee MEDICAID 3053865
Tennessee MEDICAID 3168293
Tennessee MEDICAID 3082742

Popular Providers