Organization
CEDARS HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BARBARA J SMITH MSN, RN, FNP-BC (OWNER)
(865) 803-5717
Entity
Organization
Contact information
Practice address
1004 N HIGHWAY 92, SUITE C, JEFFERSON CITY, TN 37760-3687
(865) 475-6100
(865) 475-6106
Mailing address
PO BOX 415, NEW MARKET, TN 37820-0415
(865) 475-6100
(865) 475-6106
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
APN7024
TN
261QH0100X
Health Service Clinic/Center
RN0101110
TN
Other
Enumeration date
06/03/2010
Last updated
06/03/2010
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