Provider Demographics
NPI:1376607051
Name:MMC HEALTHWORKS LLC
Entity Type:Organization
Organization Name:MMC HEALTHWORKS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATION
Authorized Official - Prefix:
Authorized Official - First Name:JAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MCNALLY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:865-481-1101
Mailing Address - Street 1:988 OAK RIDGE TPKE
Mailing Address - Street 2:PHYSICIANS PLAZA SUITE L-50
Mailing Address - City:OAK RIDGE
Mailing Address - State:TN
Mailing Address - Zip Code:37830-6930
Mailing Address - Country:US
Mailing Address - Phone:865-481-5413
Mailing Address - Fax:
Practice Address - Street 1:988 OAK RIDGE TPKE
Practice Address - Street 2:PHYSICIANS PLAZA SUITE L-50
Practice Address - City:OAK RIDGE
Practice Address - State:TN
Practice Address - Zip Code:37830-6930
Practice Address - Country:US
Practice Address - Phone:865-481-5413
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational Medicine