Organization
SULLIVAN COUNTY REGIONAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE SHELTON (TENNDERCARE OUTREACH SPECIALIST)
(423) 677-6766
Entity
Organization
Contact information
Practice address
154 BLOUNTVILLE BYPASS, BLOUNTVILLE, TN 37663
(423) 279-2783
Mailing address
915 HIDDEN VALLEY RD, KINGSPORT, TN 37663-3413
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/19/2007
Last updated
08/22/2020
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