Organization
TAP TO TREAT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRANT DAVIS (COO)
(865) 888-7890
Entity
Organization
Contact information
Practice address
3286 N PARK BLVD STE G, ALCOA, TN 37701-3275
(865) 888-7890
(865) 205-1092
Mailing address
PO BOX 10151, KNOXVILLE, TN 37939-0151
(865) 888-7890
(865) 205-1092
Taxonomy
Speciality
Code
Description
License number
State
261QX0100X
Occupational Medicine Clinic/Center
Primary
—
—
Other
Enumeration date
10/11/2021
Last updated
10/11/2021
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