# S&T BEVERLEY, LLC

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

## Provider details

- **NPI number:** 1952723165
- **Authorized official:** DEBBIE J THOMPSON (CFO)
- **Authorized official phone:** (865) 213-8336

## Contact information

- **Practice address:** 321 TELLICO ST S, MADISONVILLE, TN 37354-1194
- **Practice address phone:** (865) 213-8594
- **Practice address fax:** (865) 213-8359
- **Mailing address:** 304 WRIGHT ST, SWEETWATER, TN 37874-1181
- **Mailing address phone:** (865) 213-8336
- **Mailing address fax:** (865) 213-8359

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | MD37666 | TN | Yes |

## Other

- **Enumeration date:** 01/08/2014
- **Last updated:** 01/08/2014