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:
Map and Directions
Authorized official contact:
Name: Watters, Russell Brandon Doctor of Medicine (MD)
Phone: (423) 263-2444

Health care specialties

SpecialtyCodeLicense #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 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952367187 NPPES
Tennessee Other CE0552 MEDICARE RR

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