Organization
FORT SANDERS OBSTETRICAL AND GYNECOLOGICAL GROUP II LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA HOLDEN ACCOUNTING (LEAD)
(404) 943-0205
Entity
Organization
Contact information
Practice address
501 19TH ST, SUITE 701, KNOXVILLE, TN 37916-1854
(404) 943-0205
Mailing address
PO BOX 468029, ATLANTA, GA 31146-8029
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
06/23/2008
Last updated
06/23/2008
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