Organization
FRONTIER HEALTH
Active
Parent organization
FRONTIER HEALTH
Other names
TRACES
Organization subpart
Yes
Provider details
NPI number
Legal business name
FRONTIER HEALTH
Authorized official
DR. TERESA M KIDD PHD (PRESIDENT & CEO)
(423) 467-3600
Entity
Organization
Contact information
Practice address
2001 STONEBROOK PL, KINGSPORT, TN 37660-4000
(423) 224-1000
(423) 467-3644
Mailing address
1167 SPRATLIN PARK DR, GRAY, TN 37615-6205
(423) 467-3600
(423) 467-3644
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
SO/11429A
TN
Other
Enumeration date
05/04/2016
Last updated
05/04/2016
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