# MOSHEIM RECOVERY ASSOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003562372
- **Authorized official:** TONY YOST MD (CEO)
- **Authorized official phone:** (423) 422-2126

## Contact information

- **Practice address:** 65 PAYNE RD, MOSHEIM, TN 37818-3206
- **Practice address phone:** (423) 422-2126
- **Practice address fax:** (423) 422-2136
- **Mailing address:** 65 PAYNE RD, MOSHEIM, TN 37818-3206
- **Mailing address phone:** (423) 422-2126

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/25/2022
- **Last updated:** 02/25/2022