# IPC PAC HEALTHCARE SERVICES OF TENNESSEE PC

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

## Provider details

- **NPI number:** 1104277656
- **Authorized official:** DR. RANDAL DABBS M.D. (OWNER/PRESIDENT)
- **Authorized official phone:** (865) 693-1000

## Contact information

- **Practice address:** 1 MEDICAL PARK BLVD, BRISTOL, TN 37620-7430
- **Practice address phone:** (423) 844-1121
- **Mailing address:** 265 BROOKVIEW CENTRE WAY, STE 400, KNOXVILLE, TN 37919-4052
- **Mailing address phone:** (865) 693-1000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 208M00000X | Hospitalist Physician | — | — | Yes |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |
| 364S00000X | Clinical Nurse Specialist | — | — | — |

## Other

- **Enumeration date:** 06/27/2016
- **Last updated:** 08/22/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 20144 | LICENSE | TN |