TLC Mobile Clinic, LLC

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

Legal business name

TLC MOBILE CLINIC, LLC

Practice address

111 N Main Ave
Erwin, TN 37650-1255

Phone

(423) 491-9741

Fax

(423) 220-3211

NPI assigned

Apr 26, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Terri Lynn Woodruff, APN

Title

Apn/ Owner

Phone

(423) 491-9741

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1682467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682467200000",
    "number": "1215625504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 293",
            "city": "ERWIN",
            "state": "TN",
            "postal_code": "376500293",
            "telephone_number": "423-491-9741",
            "fax_number": "423-220-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N MAIN AVE",
            "city": "ERWIN",
            "state": "TN",
            "postal_code": "376501255",
            "telephone_number": "423-491-9741",
            "fax_number": "423-220-3211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLC MOBILE CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-26",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-25",
        "status": "A",
        "authorized_official_last_name": "WOODRUFF",
        "authorized_official_first_name": "TERRI",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "APN/ OWNER",
        "authorized_official_telephone_number": "423-491-9741",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• State of Tennessee
• Surgical Group of Northeast Tennessee
• Melodie K Swanson, PHARMD
• Suzonne S Swihart, RN NP
• Celeste Carol Taylor, LPC
• Joel J Troy, RPH
• Unaka Internal Medicine, LLC
• Unicoi Ambulance Service, Inc.
• Unicoi County Emergency Medical Services Inc.
• Unicoi County Family Practice

• Adult Medicine Physician in Erwin, TN
• Providers in Erwin, TN by specialty
• Adult Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.