Provider Demographics
NPI:1760516421
Name:MORRISTOWN FAMILY CARE CLINIC, P.C.
Entity Type:Organization
Organization Name:MORRISTOWN FAMILY CARE CLINIC, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:HARSH
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:423-318-6093
Mailing Address - Street 1:350 E ECONOMY RD
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:37814-3327
Mailing Address - Country:US
Mailing Address - Phone:423-318-6093
Mailing Address - Fax:423-318-6297
Practice Address - Street 1:350 E ECONOMY RD
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:TN
Practice Address - Zip Code:37814-3327
Practice Address - Country:US
Practice Address - Phone:423-318-6093
Practice Address - Fax:423-318-6297
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3373729Medicare ID - Type Unspecified