Organization
SULLIVAN COUNTY REGIONAL HEALTH DEPT.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALISA HEARL (SUPERVISOR)
(423) 354-1043
Entity
Organization
Contact information
Practice address
282 MAPLE ST, BLUFF CITY, TN 37618-2815
(423) 354-1825
Mailing address
282 MAPLE ST, BLUFF CITY, TN 37618-2815
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
018037
TN
Other
Enumeration date
09/25/2007
Last updated
09/25/2007
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