Organization
LISA ROSS BIRTH AND WOMENS CENTER
Active
Other names
The Maternity Center of East Tennessee
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA J COLE CNM (EXECUTIVE DIRECTOR)
(865) 524-4422
Entity
Organization
Contact information
Practice address
1925-B AILOR AVENUE, KNOXVILLE, TN 37921
(865) 524-4422
(865) 523-3687
Mailing address
1925-B AILOR AVENUE, KNOXVILLE, TN 37921
(865) 524-4422
(865) 523-3687
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
0000000004
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000911
BLUE CROSS BLUE SHIELD
TN
05
—
444B195
—
TN
Enumeration date
08/09/2006
Last updated
08/22/2020
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