Organization
SULLIVAN HEALTH DEPARTMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA EATON (TENNDERCARE COORDINTOR II)
(423) 279-2657
Entity
Organization
Contact information
Practice address
154 BLOUNTVILLE BYPASS, BLOUNTVILLE, TN 37617
(423) 279-2657
Mailing address
2201 BAY ST, BRISTOL, TN 37620-1841
(423) 279-2657
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/12/2007
Last updated
08/22/2020
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