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Organization
EAST TENNESSEE STATE UNIVERSITY
Active
Organization
EAST TENNESSEE STATE UNIVERSITY
Active
Other names
Children's First
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID D. COLLINS (CFO, VP FINANCE & ADMINISTRATION)
(423) 439-5884
Entity
Organization
Contact information
Practice address
837 PARDEE ST, JOHNSON CITY, TN 37601-5900
(423) 439-4355
(423) 439-4607
Mailing address
PO BOX 70403, JOHNSON CITY, TN 37614-1703
(423) 439-4078
(423) 439-4060
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/02/2008
Last updated
09/11/2008
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