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Organization

ANDERSON HEART PHYSICIAN

Active
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Organization

ANDERSON HEART PHYSICIAN

Active
Parent organization
MERCY PHYSICIAN SERVICES, LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
MERCY PHYSICIAN SERVICES, LLC
Authorized official
SUSANNE NELMS (EXECUTIVE DIRECTOR)
(865) 549-4892
Entity
Organization

Contact information

Practice address
200 NEW YORK AVE STE 110, OAK RIDGE, TN 37830-5216
(865) 483-1110
Mailing address
200 NEW YORK AVE STE 110, OAK RIDGE, TN 37830-5216
(865) 483-1110

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Enumeration date
05/18/2011
Last updated
05/18/2011
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