Express Health Clinic Corporation

NPI 1336189158 - Clinic/Center - 261QU0200X

NPI Details
NPI 1336189158
Enumeration Date 06/08/2006
Last Updated 06/29/2015
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name RALPH E RALPH
Position PRESIDENT
Phone (865) 475-9969
Fax (865) 475-9901
Practice Location
153 E BROADWAY BLVD
JEFFERSON CITY TN, 37760-2517, US
Phone (865) 475-9969
Fax (865) 475-9901
Business Location
PO BOX 385
127 W. MEETING STREET
DANDRIDGE TN, 37725-0385, US
Phone (865) 475-9969
Fax (865) 475-9901
Toxanomy
Taxonomy Code 261QU0200X
License State
License Number
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According to our database, Express Health Clinic Corporation NPI is 1336189158, taxonomy code is 261QU0200X Express Health Clinic Corporation physically located at 153 E Broadway Blvd, Jefferson City TN, 37760-2517. NPI Number 1033115704 has the healthcare provider type.

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1336189158 NPI number is provided on an as is basis without warranty of any kind. 1336189158 is maintained by the National Plan & Provider Enumeration System. The contents of Express Health Clinic Corporation are for informational purposes only.