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401 Takoma Ave Greeneville TN 37743-4647 | |
| (423) 636-2446 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 401 Takoma Ave, Greeneville, Tennessee |
| Authorized Official Name and Position | Blin Richards (CFO) |
| Authorized Official Contact | 4236362376 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
401 Takoma Ave Greeneville TN 37743-4647 Ph: (423) 636-2446 | 401 Takoma Ave Greeneville TN 37743-4647 Ph: (423) 636-2446 |
| NPI Number | 1467674929 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467674929 | NPI | - | NPPES |
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