| Greenhurst Pc | |
|
1410 Doyal Dr Morristown TN 37814-6108 | |
| (423) 317-9202 | |
| (423) 317-9206 |
| Full Name | Greenhurst Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1410 Doyal Dr, Morristown, Tennessee |
| Authorized Official Name and Position | Edmon L Green (CHAIRMAN) |
| Authorized Official Contact | 4233179202 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greenhurst Pc Po Box 14189 Morristown TN 37814-0002 Ph: (423) 317-9202 | Greenhurst Pc 1410 Doyal Dr Morristown TN 37814-6108 Ph: (423) 317-9202 |
| NPI Number | 1902969041 |
|---|---|
| Provider Enumeration Date | 12/19/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902969041 | NPI | - | NPPES |
| 3729559 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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