Organization
MEN'S HEALTH OF MARYVILLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA WHISENANT FNP (NURSE PRACTITIONER/OWNER)
(865) 321-2934
Entity
Organization
Contact information
Practice address
2010 W BROADWAY AVE, MARYVILLE, TN 37801-5404
(865) 321-2934
Mailing address
2010 W BROADWAY AVE, MARYVILLE, TN 37801-5404
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
06/16/2021
Last updated
06/16/2021
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