Organization
SULLIVAN COUNTY REGIONAL HEALTH DEPARTMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHELSEA FAUCHER (REGISTERED NURSE- PUBLIC HEALTH)
(423) 279-2777
Entity
Organization
Contact information
Practice address
1041 E SULLIVAN ST, KINGSPORT, TN 37660-5242
(423) 279-2777
(423) 224-1640
Mailing address
1041 E SULLIVAN ST, KINGSPORT, TN 37660-5242
(423) 279-2777
(423) 224-1640
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
206764
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3911774
MEDICARE
—
01
—
B58933
UPIN
TN
Enumeration date
02/06/2017
Last updated
02/16/2017
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