Organization
HOT ROD SHANNON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES THOMAS CAMPBELL (PRESIDENT)
(865) 748-7003
Entity
Organization
Contact information
Practice address
2303 MORGAN COUNTY HWY, WARTBURG, TN 37887-3528
(865) 748-7003
(423) 346-2139
Mailing address
PO BOX 1057, 117 COON HUNTER ROAD, WARTBURG, TN 37887-1057
(865) 748-7003
(423) 346-2139
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
11/04/2015
Last updated
11/04/2015
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