Organization
COMMUNITY CENTER HEALTH LLC
Active
Other names
Community Center Health LLC
Organization subpart
No
Provider details
NPI number
Authorized official
RHONDA DEE DAVIS (GENERAL MANAGER)
(865) 446-4032
Entity
Organization
Contact information
Practice address
1548 PARKWAY STE 202, SEVIERVILLE, TN 37862-4020
(865) 446-4032
(865) 868-4746
Mailing address
190 COMMUNITY CENTER DR STE 102, PIGEON FORGE, TN 37863-6243
(865) 446-4032
(865) 868-4746
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
55849
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D6942593
TRACKING
TN
Enumeration date
05/02/2018
Last updated
05/02/2018
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