Individual
RANDALL BEENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
601 CUMBERLAND ST, CHATTANOOGA, TN 37404-1922
(423) 266-6751
Mailing address
201 W SPRINGDALE AVE, KNOXVILLE, TN 37917-5158
(423) 266-6751
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/19/2013
Last updated
12/19/2013
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