Organization
GERATRIC ASSESMENT PROGRAM
Active
Parent organization
MERCY PHYSICIAN SERVICES, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MERCY PHYSICIAN SERVICES, LLC
Authorized official
SUSANNE NELMS (PRACTICE ADMINISTRATOR/DIRECTOR)
(865) 549-4892
Entity
Organization
Contact information
Practice address
BAPTIST MEDICAL TOWER, BLOUNT AVEUNUE, SUITE 650, KNOXVILLE, TN 37920-1632
(865) 632-5058
(865) 549-2166
Mailing address
BAPTIST MEDICAL TOWER, BLOUNT AVEUNUE, SUITE 650, KNOXVILLE, TN 37920-1632
(865) 632-5058
(865) 549-2166
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
05/18/2009
Last updated
05/18/2009
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