Provider Demographics
NPI:1295366037
Name:M3C
Entity Type:Organization
Organization Name:M3C
Other - Org Name:MISSION MOBILE MEDICAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:SETH
Authorized Official - Middle Name:D
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:270-316-5214
Mailing Address - Street 1:9041 EXECUTIVE PARK DR STE 250
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37923-4657
Mailing Address - Country:US
Mailing Address - Phone:865-298-1502
Mailing Address - Fax:
Practice Address - Street 1:9041 EXECUTIVE PARK DR STE 250
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37923-4657
Practice Address - Country:US
Practice Address - Phone:865-298-1500
Practice Address - Fax:865-298-1501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-30
Last Update Date:2023-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty