# APP OF EAST TENNESSEE HM PLLC

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

## Provider details

- **NPI number:** 1518503655
- **Authorized official:** JAMES GRIMES (CFO)
- **Authorized official phone:** (855) 246-8607

## Contact information

- **Practice address:** 5121 MARYLAND WAY STE 300, BRENTWOOD, TN 37027-7516
- **Practice address phone:** (629) 206-3254
- **Mailing address:** 5121 MARYLAND WAY STE 300, BRENTWOOD, TN 37027-7516

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208M00000X | Hospitalist Physician | — | NULL | Yes |
| 208M00000X | Hospitalist Physician | — | — | Yes |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 11/25/2019
- **Last updated:** 01/26/2023