Organization
LISA ROSS BIRTH AND WOMENS CENTER
Active
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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