Organization
SOFHA ACUTE CARE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA CLEAR (DIRECTOR OF QUALITY)
(423) 794-2450
Entity
Organization
Contact information
Practice address
2528 WESLEY ST STE 2, JOHNSON CITY, TN 37601-1766
(423) 794-2469
(423) 283-9730
Mailing address
2528 WESLEY ST STE 2, JOHNSON CITY, TN 37601-1766
(423) 794-2469
(423) 283-9730
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
04/01/2019
Last updated
04/01/2019
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