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Organization
JELLICO HEALTHCARE ASSOCIATES LLC
Active
Organization
JELLICO HEALTHCARE ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIM DOWELL (CEO)
(423) 784-7252
Entity
Organization
Contact information
Practice address
188 HOSPITAL LN, JELLICO, TN 37762-4400
(423) 784-7252
Mailing address
188 HOSPITAL LN, JELLICO, TN 37762-4400
(423) 784-7252
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
11/15/2016
Last updated
11/15/2016
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