Organization
GERIATRIC HEALTH CARE SERVICES
Active
Organization
GERIATRIC HEALTH CARE SERVICES
Active
Other names
Sue Hirsch
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILIP HIRSCH (COORDINATOR)
(865) 277-6310
Entity
Organization
Contact information
Practice address
135 GENERATION DR, NEWPORT, TN 37821-8018
(865) 277-6310
(865) 366-0050
Mailing address
1979 CHELSEA JO LN, SEVIERVILLE, TN 37876-7022
(865) 277-6310
(865) 366-0050
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
APN13185
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1514863
—
TN
01
—
4270888
BCBS
TN
Enumeration date
03/02/2011
Last updated
05/17/2011
Update your record
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