NPI 1003302423

Upper Cumberland Medical Clinic, INC.

Organisation Clinic/Center Baxter, TN

Practice location

Address: 319 Broad St, Baxter, TN 38544-5117
Phone: (931) 858-2116
Fax: (931) 858-2117
Mailing address: PO Box 175, Baxter, TN 38544-0175

Authorised official

Name: Jacqueline D Swallows
Title: Nurse Practitioner
Phone: (931) 858-2116

Registered specialties

Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261Q00000X

Other Clinic/Center providers in Tennessee →

Registry record

NPI: 1003302423
Entity type: Organization
NPI issued: 9 Jul 2018
Record last updated: 9 Jul 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.