| Mr George Glen Massengill, LADAC | |
|
188 Indian Mound Cir, Jacksboro, TN 37757-2100 | |
| (423) 566-2437 | |
| (423) 566-2948 |
| Full Name | Mr George Glen Massengill |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 188 Indian Mound Cir, Jacksboro, Tennessee |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033447263 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 580 (Tennessee) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr George Glen Massengill, LADAC 188 Indian Mound Cir, Jacksboro, TN 37757-2100 Ph: (423) 566-2437 | Mr George Glen Massengill, LADAC 188 Indian Mound Cir, Jacksboro, TN 37757-2100 Ph: (423) 566-2437 |
Ms. Marta Finnegan, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 327 Cedar Cir, Jacksboro, TN 37757 Phone: 865-306-2882 | |
Mrs. Cora Ann Willis-king, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 140 Indian Mound Cir, Jacksboro, TN 37757 Phone: 423-566-2451 Fax: 423-566-2453 |