Organization
JELLICO COMMUNITY HOSPITAL, INC
Active
Other names
Jellico Community Hospital Wound Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
EVELYN GHULAM (CONTROLLER)
(423) 784-1334
Entity
Organization
Contact information
Practice address
188 HOSPITAL LN, JELLICO, TN 37762-4400
(423) 784-1272
(423) 784-1136
Mailing address
188 HOSPITAL LN, JELLICO, TN 37762-4400
(423) 784-1272
(423) 784-1136
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
10/13/2011
Last updated
03/10/2016
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