| Reliant Family Health, Inc | |
|
2945 Maynardville Hwy Ste 3 Maynardville TN 37807-3251 | |
| (865) 745-1258 | |
| (865) 745-1276 |
| Full Name | Reliant Family Health, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 2945 Maynardville Hwy, Maynardville, Tennessee |
| Authorized Official Name and Position | Emily L Harless (OWNER) |
| Authorized Official Contact | 8657451258 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Reliant Family Health, Inc Po Box 1649 New Tazewell TN 37824-1649 Ph: (865) 670-6199 | Reliant Family Health, Inc 2945 Maynardville Hwy Ste 3 Maynardville TN 37807-3251 Ph: (865) 745-1258 |
| NPI Number | 1962833657 |
|---|---|
| Provider Enumeration Date | 12/05/2013 |
| Last Update Date | 12/05/2013 |
| Medicare PECOS PAC ID | 7719117449 |
|---|---|
| Medicare Enrollment ID | O20140225001997 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962833657 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Tennessee) | Primary |
| Provider Name | Emily L Harless |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154658409 PECOS PAC ID: 1557491743 Enrollment ID: I20100615000359 |
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