Organization
S&T BEVERLEY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE J THOMPSON (CFO)
(865) 213-8336
Entity
Organization
Contact information
Practice address
321 TELLICO ST S, MADISONVILLE, TN 37354-1194
(865) 213-8594
(865) 213-8359
Mailing address
304 WRIGHT ST, SWEETWATER, TN 37874-1181
(865) 213-8336
(865) 213-8359
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD37666
TN
Other
Enumeration date
01/08/2014
Last updated
01/08/2014
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