Organization
TAKOMA REGIONAL HOSPITAL DBA TAKOMA WOUND CENTER
Active
Other names
Takoma Wound Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BLIN RICHARDS (CFO)
(423) 636-2376
Entity
Organization
Contact information
Practice address
401 TAKOMA AVE, GREENEVILLE, TN 37743-4647
(423) 639-3151
(423) 639-0487
Mailing address
401 TAKOMA AVE, GREENEVILLE, TN 37743-4647
(423) 639-3151
(423) 639-0487
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
—
208600000X
Surgery Physician
—
—
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/07/2007
Last updated
09/11/2025
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