Individual
CHARLIE GROOMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
222 HERITAGE BLVD, NEWPORT, TN 37821-4200
(423) 581-8140
(423) 581-8131
Mailing address
P.O. BOX 754, SMOKY MTN. HOME HEALTH AND HOSPICE, NEWPORT, TN 37822-0754
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
18789
TN
Other
Enumeration date
07/18/2014
Last updated
02/21/2018
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