Organization
CRESCENT HEALTH GATLINBURG
Active
Other names
First Med
Organization subpart
No
Provider details
NPI number
Authorized official
RHONDA D DAVIS GM (GENERAL MANAGER)
(865) 446-4032
Entity
Organization
Contact information
Practice address
190 COMMUNITY CENTER DR, SUITE 103, PIGEON FORGE, TN 37863-6251
(865) 446-4032
(865) 868-4746
Mailing address
190 COMMUNITY CENTER DR, SUITE 103, PIGEON FORGE, TN 37863-6251
(865) 446-4032
(865) 868-4746
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
TN0250
TN
363LF0000X
Family Nurse Practitioner
TN5198
TN
363LF0000X
Family Nurse Practitioner
Primary
TN8475
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3388477
—
TN
Enumeration date
03/10/2008
Last updated
11/05/2015
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