Organization
HENRY COUNTY ORTHOPAEDIC SURGERY & SPORTS MEDICINE, INC
Active
Organization
HENRY COUNTY ORTHOPAEDIC SURGERY & SPORTS MEDICINE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JEANETTE TRIPLETT (HR ACCT MANAGER)
(731) 644-2271
Entity
Organization
Contact information
Practice address
701 E REELFOOT AVE, UNION CITY, TN 38261-5880
(800) 726-6379
(731) 644-3980
Mailing address
1015 KELLEY DR, SUITE 200, PARIS, TN 38242-5819
(731) 644-2271
(731) 644-3980
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000353340
BCBS
KY
01
—
143389
UNISON
TN
05
—
3719301
—
TN
01
—
4058520
BCBS
TN
01
—
553436344
TRICARE
TN
05
—
64082274
—
KY
01
—
P00131527
PALMETO GBA
TN
Enumeration date
09/14/2006
Last updated
02/17/2011
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