Organization
ADDICTION RECOVERY CENTER OF EAST TN
Active
Organization
ADDICTION RECOVERY CENTER OF EAST TN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MACK LYNN HICKS MD (OWNER)
(423) 914-3195
Entity
Organization
Contact information
Practice address
3763 HIGHWAY 11 W, BLOUNTVILLE, TN 37617-3407
(423) 279-3860
(423) 279-3861
Mailing address
3763 HIGHWAY 11 W, BLOUNTVILLE, TN 37617-3407
(423) 279-3860
(423) 279-3861
Taxonomy
Speciality
Code
Description
License number
State
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
Primary
—
—
Other
Enumeration date
08/13/2020
Last updated
08/13/2020
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