| |
301 Mcghee St Maryville TN 37801-6811 | |
(865) 983-4582 | |
(865) 983-4574 |
Full Name | |
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Speciality | Clinic/center - Public Health, State Or Local |
Location | 301 Mcghee St, Maryville, 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) 983-4582 | 301 Mcghee St Maryville TN 37801-6811 Ph: (865) 983-4582 |
NPI Number | 1306991286 |
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Provider Enumeration Date | 01/24/2007 |
Last Update Date | 08/23/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306991286 | NPI | - | NPPES |
4447837 | Medicaid | TN | |
2008167 | Other | TN | BLUECROSS BLUESHEILD TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP0905X | Clinic/center - Public Health, State Or Local | (* (Not Available)) | Primary |
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