Soul Hospital With Dr. Char | |
1416 Breda Dr Knoxville TN 37918-1401 | |
(865) 806-4403 | |
Not Available |
Full Name | Soul Hospital With Dr. Char |
---|---|
Speciality | Community/behavioral Health |
Location | 1416 Breda Dr, Knoxville, Tennessee |
Authorized Official Name and Position | Charlotte Ann Frye (PRESIDENT) |
Authorized Official Contact | 8658064403 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Soul Hospital With Dr. Char 1416 Breda Dr Po Box 5450 Knoxville TN 37918-1401 Ph: (865) 806-4403 | Soul Hospital With Dr. Char 1416 Breda Dr Knoxville TN 37918-1401 Ph: (865) 806-4403 |
NPI Number | 1669866851 |
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Provider Enumeration Date | 03/25/2015 |
Last Update Date | 03/25/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669866851 | NPI | - | NPPES |
002043100 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 3163 (Tennessee) | Primary |
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