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Organization
LTC PROVIDERS INCORPORATED
Active
Organization
LTC PROVIDERS INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH ANNE THOMAS NURSE PRACTIONER (PRESIDENT)
(865) 546-1433
Entity
Organization
Contact information
Practice address
428 E BURWELL AVE, KNOXVILLE, TN 37917-5007
(865) 546-1433
Mailing address
428 E BURWELL AVE, KNOXVILLE, TN 37917-5007
(865) 546-1433
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN 0000006533
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1912081381
INDIVIDUAL NPI
TN
05
—
3348732
—
TN
05
—
3906597
—
TN
01
—
4133158
BCBC TN
TN
Enumeration date
03/14/2007
Last updated
08/22/2020
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