Organization
EAST TN MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY OSBORNE (PARTNER/OWNER)
(423) 419-5049
Entity
Organization
Contact information
Practice address
1145 W LEXINGTON AVE STE C, WINCHESTER, KY 40391-1290
(423) 419-5049
(423) 973-3574
Mailing address
1145 W LEXINGTON AVE STE C, WINCHESTER, KY 40391-1290
(423) 419-5049
(423) 973-3574
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
07/31/2025
Last updated
07/31/2025
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