Organization
TEN BROECK TENNESSEE PHYSICIANS GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARISSA HUTSON (BUSINESS OFFICE)
(931) 319-4231
Entity
Organization
Contact information
Practice address
911 N SHELBY ST, SALEM, IN 47167-2304
(812) 883-8583
(812) 883-8595
Mailing address
911 N SHELBY ST, SALEM, IN 47167-2304
(812) 883-8583
(812) 883-8595
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/24/2021
Last updated
03/24/2021
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