Organization
STATE OF TENNESSEE
Active
Other names
Anderson County Health Department
Organization subpart
No
Provider details
NPI number
Authorized official
MARIANNE F SHARP (REGIONAL ACCOUNTANT)
(865) 549-5266
Entity
Organization
Contact information
Practice address
710 N MAIN ST, CLINTON, TN 37716-3143
(865) 425-8800
(865) 463-7950
Mailing address
PO BOX 59019, KNOXVILLE, TN 37950-9019
(865) 425-8800
(865) 463-7950
Taxonomy
Speciality
Code
Description
License number
State
261QP0905X
State or Local Public Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4447838
—
TN
01
—
9408
BLUECROSS BLUESHIELD
TN
Enumeration date
01/22/2007
Last updated
08/23/2010
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