# COMMUNITY CENTER HEALTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Community Center Health LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912496274
- **Authorized official:** RHONDA DEE DAVIS (GENERAL MANAGER)
- **Authorized official phone:** (865) 446-4032

## Contact information

- **Practice address:** 1548 PARKWAY STE 202, SEVIERVILLE, TN 37862-4020
- **Practice address phone:** (865) 446-4032
- **Practice address fax:** (865) 868-4746
- **Mailing address:** 190 COMMUNITY CENTER DR STE 102, PIGEON FORGE, TN 37863-6243
- **Mailing address phone:** (865) 446-4032
- **Mailing address fax:** (865) 868-4746

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 55849 | TN | Yes |

## Other

- **Enumeration date:** 05/02/2018
- **Last updated:** 05/02/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | D6942593 | TRACKING | TN |