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Organization

PRIME PROVIDER SYSTEMS, INC.

Active
Other names
Prime Provider Systems (PPS)
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL C. HAWTHORNE PHD (PRESIDENT AND CEO)
(865) 584-4100
Entity
Organization

Contact information

Practice address
1111 N NORTHSHORE DR, SUITE SOUTH 450, KNOXVILLE, TN 37919-4005
(865) 584-4100
(865) 584-4100
Mailing address
1111 N NORTHSHORE DR, SUITE SOUTH 450, KNOXVILLE, TN 37919-4005
(865) 584-4100
(865) 584-4100

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
03/30/2007
Last updated
08/22/2020
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