Individual
CARRIE B ILLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
917 W WALNUT ST, JOHNSON CITY, TN 37604-6527
(423) 439-6464
Mailing address
158 SPIDER BARNES RD, JONESBOROUGH, TN 37659-6333
(970) 988-7100
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/06/2023
Last updated
07/06/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us