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Organization
IPC PAC HEALTHCARE SERVICES OF TENNESSEE PC
Active
Organization
IPC PAC HEALTHCARE SERVICES OF TENNESSEE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDAL DABBS M.D. (OWNER/PRESIDENT)
(865) 693-1000
Entity
Organization
Contact information
Practice address
1 MEDICAL PARK BLVD, BRISTOL, TN 37620-7430
(423) 844-1121
Mailing address
265 BROOKVIEW CENTRE WAY, STE 400, KNOXVILLE, TN 37919-4052
(865) 693-1000
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
208M00000X
Hospitalist Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
364S00000X
Clinical Nurse Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20144
LICENSE
TN
Enumeration date
06/27/2016
Last updated
08/22/2026
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