Provider Demographics
NPI:1982269916
Name:VOLUNTEER FAMILY MEDICAL
Entity Type:Organization
Organization Name:VOLUNTEER FAMILY MEDICAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RHONDA
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:GM
Authorized Official - Phone:865-320-4748
Mailing Address - Street 1:PO BOX 1421
Mailing Address - Street 2:
Mailing Address - City:PIGEON FORGE
Mailing Address - State:TN
Mailing Address - Zip Code:37868-1421
Mailing Address - Country:US
Mailing Address - Phone:865-320-4748
Mailing Address - Fax:
Practice Address - Street 1:190 COMMUNITY CENTER DR STE 102
Practice Address - Street 2:
Practice Address - City:PIGEON FORGE
Practice Address - State:TN
Practice Address - Zip Code:37863-6243
Practice Address - Country:US
Practice Address - Phone:865-320-4748
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-06
Last Update Date:2019-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty