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Organization

EVERNORTH CARE PROVIDERS - TENNESSEE PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JACQUELINE D LAKES (SENIOR PARALEGAL)
(954) 446-0640
Entity
Organization

Contact information

Practice address
900 TRAIL RIDGE RD FL 1, AIKEN, SC 29803-7765
(773) 292-4800
(312) 564-4059
Mailing address
730 COOL SPRINGS BLVD STE 500, FRANKLIN, TN 37067-7331
(773) 292-4800
(312) 564-4059

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary

Other

Enumeration date
01/09/2024
Last updated
07/14/2025
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