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710 N Main St Clinton TN 37716-3143 | |
(865) 425-8800 | |
(865) 463-7950 |
Full Name | |
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Speciality | Clinic/center - Public Health, State Or Local |
Location | 710 N Main St, Clinton, Tennessee |
Authorized Official Name and Position | Marianne F Sharp (REGIONAL ACCOUNTANT) |
Authorized Official Contact | 8655495266 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 59019 Knoxville TN 37950-9019 Ph: (865) 425-8800 | 710 N Main St Clinton TN 37716-3143 Ph: (865) 425-8800 |
NPI Number | 1427102177 |
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Provider Enumeration Date | 01/22/2007 |
Last Update Date | 08/23/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427102177 | NPI | - | NPPES |
9408 | Other | TN | BLUECROSS BLUESHIELD |
4447838 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
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261QP0905X | Clinic/center - Public Health, State Or Local | (* (Not Available)) | Primary |
Cherokee Health Systems Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 165 Frank L Diggs Dr, Clinton, TN 37716 Phone: 865-934-6150 Fax: 865-342-0150 | |