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Organization
LIMB PRESERVATION CENTER OF EAST TENNESSEE PLLC
Active
Organization
LIMB PRESERVATION CENTER OF EAST TENNESSEE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER FILER (CREDENTIALING MANAGER)
(561) 312-1082
Entity
Organization
Contact information
Practice address
460 MEDICAL PARK DR STE 108B, LENOIR CITY, TN 37772-5782
(865) 562-3232
Mailing address
460 MEDICAL PARK DR STE 108B, LENOIR CITY, TN 37772-5782
(865) 562-3232
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
—
NULL
163WW0000X
Wound Care Registered Nurse
—
—
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/20/2023
Last updated
05/16/2023
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