Organization · NPI-2
Tazewell Health And Wellness INC
Family Medicine · Tazewell, TN
NPI number1003580952
StatusActive
Last updated in NPPESNov 2, 2023
Details
- NPI
- 1003580952
- Entity type
- Organization (NPI-2)
- Legal business name
- Tazewell Health And Wellness INC
- Organization subpart
- No
- Enumeration date
- Aug 4, 2021
- Certification date
- Nov 2, 2023
- Last updated
- Nov 2, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
951 N Broad StTazewell, TN 37879-4323
Phone 423-259-8661 · Fax 423-259-8237
Mailing address
951 N Broad StTazewell, TN 37879-4323
Phone 423-259-8661 · Fax 423-259-8237
Authorized official
Lloyd Benton Harris
Pharmd
8656613506
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