Organization
FOCUS ON FUCTION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN MARY MICHAUD OTRL (ADMINISTRATOR)
(423) 622-6615
Entity
Organization
Contact information
Practice address
4159 RINGGOLD RD STE 106, EAST RIDGE, TN 37412-2442
(423) 622-6615
(423) 622-6614
Mailing address
4159 RINGGOLD RD STE 106, EAST RIDGE, TN 37412-2442
(423) 622-6615
(423) 622-6614
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
PSS0000000026
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4070765
BLUECARE
TN
Enumeration date
04/16/2007
Last updated
08/22/2020
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