Organization
APPA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS LILLIFIELD PA (OWNER)
(404) 862-4866
Entity
Organization
Contact information
Practice address
3170 APPALACHIAN HWY, JACKSBORO, TN 37757-5500
(404) 862-4866
Mailing address
3170 APPALACHIAN HWY, JACKSBORO, TN 37757-5500
(404) 862-4866
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
174
TN
Other
Enumeration date
08/13/2015
Last updated
08/13/2015
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