Organization
SWEETWATER HOSPITAL ER PHYSICIAN GROUP
Active
Parent organization
SWEETWATER HOSPITAL ASSOCIATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
SWEETWATER HOSPITAL ASSOCIATION
Authorized official
DEBBIE THOMPSON (CFO)
(865) 213-8336
Entity
Organization
Contact information
Practice address
304 WRIGHT ST, SWEETWATER, TN 37874
(865) 213-8200
(865) 213-8596
Mailing address
304 WRIGHT ST, SWEETWATER, TN 37874-1181
(865) 213-8200
(865) 213-8596
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0000000089
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000280
BLUE CROSS OF TN
—
05
—
3280256
—
TN
Enumeration date
07/21/2005
Last updated
06/06/2018
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