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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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