| |
350 Christian Church Rd, Gray, TN 37615-4500 | |
(423) 439-4355 | |
Not Available |
Full Name | |
---|---|
Type | Facility |
Speciality | Audiologist |
Location | 350 Christian Church Rd, Gray, Tennessee |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720252554 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
231H00000X | Audiologist | (* (Not Available)) | Primary |
235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
Mailing Address | Practice Location Address |
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Po Box 70403, Johnson City, TN 37614-1703 Ph: (423) 439-4078 | 350 Christian Church Rd, Gray, TN 37615-4500 Ph: (423) 439-4355 |