Organization
STATE OF TENNESSEE
Active
Other names
Polk County Health Department- Copper Basin
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD W MCCARTHY (ACCOUNTING MANAGER)
(423) 634-5832
Entity
Organization
Contact information
Practice address
840 CHEROKEE TRL, COPPERHILL, TN 37317-5200
(423) 496-3275
(423) 496-4442
Mailing address
840 CHEROKEE TRL, COPPERHILL, TN 37317-5200
(423) 496-3275
(423) 496-4442
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Enumeration date
01/31/2007
Last updated
02/08/2022
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