Organization
COCKE COUNTY HMA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER L JACKSON (SENIOR DIRECTOR PROVIDER ENROLLMENT)
(615) 465-3334
Entity
Organization
Contact information
Practice address
435 2ND ST, NEWPORT, TN 37821-3703
(423) 625-2200
(423) 625-2215
Mailing address
PO BOX 689022, FRANKLIN, TN 37068-9022
(615) 778-8515
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
05/01/2023
Last updated
05/01/2023
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