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Organization

APEX HEALTHCARE,

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHERI DENIS DICKENSON APRN, BC (OWNER)
(423) 247-8811
Entity
Organization

Contact information

Practice address
208 LYNN GARDEN DR., KINGSPORT, TN 37660-3191
(423) 247-8811
(423) 247-5864
Mailing address
208 LYNN GARDEN DR., KINGSPORT, TN 37660-3191
(423) 247-8811
(423) 247-6207

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
19265
TN
207Q00000X
Family Medicine Physician
MD42820
TN
363LF0000X
Family Nurse Practitioner
Primary
10969
TN
363LF0000X
Family Nurse Practitioner
7650
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1517960
TN
Enumeration date
03/18/2009
Last updated
07/16/2014
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