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Organization

BOEREMA AND THOMPSON COMPASSIONATE HEALTHCARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LISA DEFRIECE (BILLING MANAGER/CREDENTIALING)
(423) 339-2320
Entity
Organization

Contact information

Practice address
2700 WESTSIDE DR NW STE 103, CLEVELAND, TN 37312-3699
(423) 339-2320
(423) 339-2321
Mailing address
2700 WESTSIDE DR NW STE 103, CLEVELAND, TN 37312-3699
(423) 339-2320
(423) 339-2321

Taxonomy

Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary

Other

Enumeration date
02/26/2019
Last updated
02/26/2019
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