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321 Possum Creek Rd Bluff City TN 37618-3612 | |
(423) 224-1000 | |
(423) 467-3644 |
Full Name | |
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Speciality | Community/behavioral Health |
Location | 321 Possum Creek Rd, Bluff City, Tennessee |
Authorized Official Name and Position | Teresa M Kidd (PRESIDENT & CEO) |
Authorized Official Contact | 4234673600 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1167 Spratlin Park Dr Gray TN 37615-6205 Ph: (423) 467-3600 | 321 Possum Creek Rd Bluff City TN 37618-3612 Ph: (423) 224-1000 |
NPI Number | 1871947754 |
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Provider Enumeration Date | 04/18/2016 |
Last Update Date | 04/18/2016 |
Identifier | Type | State | Issuer |
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1871947754 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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251S00000X | Community/behavioral Health | SO/11355A (Tennessee) | Primary |