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5842 Highway 30 Benton TN 37307-4734 | |
(480) 550-9281 | |
Not Available |
Full Name | |
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Speciality | Community/behavioral Health |
Location | 5842 Highway 30, Benton, Tennessee |
Authorized Official Name and Position | Laura J Brown (VP OF REVENUE CYCLE MANAGEMENT) |
Authorized Official Contact | 6618294060 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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5500 Ming Ave Ste 410 Bakersfield CA 93309-4631 Ph: () - | 5842 Highway 30 Benton TN 37307-4734 Ph: (480) 550-9281 |
NPI Number | 1982425757 |
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Provider Enumeration Date | 10/23/2024 |
Last Update Date | 10/30/2024 |
Certification Date | 10/30/2024 |
Identifier | Type | State | Issuer |
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1982425757 | NPI | - | NPPES |