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Organization
TENNESSEE RIVER PHYSICIANS, PLLC
Active
Organization
TENNESSEE RIVER PHYSICIANS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM H LARSEN (DIRECTOR OF CREDENTIALING)
(770) 874-5400
Entity
Organization
Contact information
Practice address
71 WHEELERTOWN AVE, PIKEVILLE, TN 37367-5246
(423) 447-2112
Mailing address
PO BOX 20882, BELFAST, ME 04915-4105
(770) 874-5400
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
01/26/2017
Last updated
02/05/2020
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