Organization
STATE OF TENNESSEE
Active
Other names
Sevier County Health Department
Organization subpart
No
Provider details
NPI number
Authorized official
MARIANNE F SHARP (REGIONAL ACCOUNTANT)
(865) 549-5266
Entity
Organization
Contact information
Practice address
719 MIDDLE CREEK RD, SEVIERVILLE, TN 37862-5016
(865) 637-6853
(865) 429-2689
Mailing address
PO BOX 59019, KNOXVILLE, TN 37950-9019
(865) 549-5266
(865) 594-8919
Taxonomy
Speciality
Code
Description
License number
State
261QP0905X
State or Local Public Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4447824
—
TN
01
—
9443
BLUECROSS BLUESHIELD TN
TN
Enumeration date
01/24/2007
Last updated
08/14/2013
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