Individual
RACHEL GROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
325 N STATE OF FRANKLIN RD, GROUND FL, JOHNSON CITY, TN 37604-6056
(423) 439-7320
(423) 439-7343
Mailing address
PO BOX 699, MOUNTAIN HOME, TN 37684-0699
(423) 439-7320
(423) 439-7343
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2019-01068
NC
208000000X
Pediatrics Physician
65616
TN
2080N0001X
Neonatal-Perinatal Medicine Physician
2019-01068
NC
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
65616
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q043006
—
TN
Enumeration date
04/15/2016
Last updated
01/17/2024
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