Organization
SMOKY MOUNTAIN EMERGENCY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDAL L DABBS M.D. (PRESIDENT)
(865) 693-1000
Entity
Organization
Contact information
Practice address
1 PAVILION DR, DANIELS, WV 25832-9705
(304) 763-2888
Mailing address
PO BOX 634711, CINCINNATI, OH 45263-4711
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4005133000
—
WV
Enumeration date
07/17/2006
Last updated
10/22/2007
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