Provider Demographics
NPI:1588119986
Name:SISTERS CARING HEARTS FAMILY MEDICINE INC
Entity type:Organization
Organization Name:SISTERS CARING HEARTS FAMILY MEDICINE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TAUNDA
Authorized Official - Middle Name:LEANNE
Authorized Official - Last Name:MOTSINGER
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:423-727-6503
Mailing Address - Street 1:412 DONNELLY ST
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37683-1512
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:412 DONNELLY ST
Practice Address - Street 2:
Practice Address - City:MOUNTAIN CITY
Practice Address - State:TN
Practice Address - Zip Code:37683-1512
Practice Address - Country:US
Practice Address - Phone:423-727-6503
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-16
Last Update Date:2016-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care