Organization
EXPRESS HEALTH CLINIC CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RALPH E NEWMAN JR. (PRESIDENT)
(865) 475-9969
Entity
Organization
Contact information
Practice address
153 E BROADWAY BLVD, JEFFERSON CITY, TN 37760-2517
(865) 475-9969
(865) 475-9901
Mailing address
PO BOX 385, 127 W. MEETING STREET, DANDRIDGE, TN 37725-0385
(865) 475-9969
(865) 475-9901
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1336189158
NPI
TN
Enumeration date
06/08/2006
Last updated
06/29/2015
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