Organization
MED ONE OF TENNESSEE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE HIGHT (BILLING ADMINSTRATOR)
(423) 979-5801
Entity
Organization
Contact information
Practice address
1220 VOLUNTEER PKWY, BRISTOL, TN 37620-4628
(423) 990-1400
(423) 990-1411
Mailing address
1220 VOLUNTEER PKWY, BRISTOL, TN 37620-4628
(423) 990-1400
(423) 990-1411
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3732209
MEDICARE
TN
Enumeration date
06/24/2006
Last updated
03/19/2009
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