Organization
MICHAEL DUNN CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL L. MCELHINNEY (PRESIDENT/ CEO)
(865) 376-3416
Entity
Organization
Contact information
Practice address
629 GALLAHER RD, KINGSTON, TN 37763-4215
(865) 376-3416
(865) 376-3532
Mailing address
629 GALLAHER RD, KINGSTON, TN 37763-4215
(865) 376-3416
(865) 376-3532
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
6640
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1316076268
NPI
TN
05
—
H445387
—
TN
Enumeration date
10/15/2013
Last updated
10/15/2013
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