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
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