Geratric Assesment Program

NPI 1093940215 - Clinic/Center - 261Q00000X

NPI Details
NPI 1093940215
Enumeration Date 05/18/2009
Last Updated 05/18/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name SUSANNE SUSANNE
Position PRACTICE ADMINISTRATOR/DIRECTOR
Phone (865) 632-5058
Fax (865) 549-2166
Practice Location
BAPTIST MEDICAL TOWER, BLOUNT AVEUNUE
SUITE 650
KNOXVILLE TN, 37920-1632, US
Phone (865) 632-5058
Fax (865) 549-2166
Business Location
BAPTIST MEDICAL TOWER, BLOUNT AVEUNUE
SUITE 650
KNOXVILLE TN, 37920-1632, US
Phone (865) 632-5058
Fax (865) 549-2166
Toxanomy
Taxonomy Code 261Q00000X
License State
License Number
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According to our database, Geratric Assesment Program NPI is 1093940215, taxonomy code is 261Q00000X Geratric Assesment Program physically located at Baptist Medical Tower, Blount Aveunue, Knoxville TN, 37920-1632. NPI Number 1033115704 has the healthcare provider type.

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1093940215 NPI number is provided on an as is basis without warranty of any kind. 1093940215 is maintained by the National Plan & Provider Enumeration System. The contents of Geratric Assesment Program are for informational purposes only.