Tusculum Physician Services PC
Hospitalist in Greeneville, TN. Organization (NPI-2).
NPI number1013895192
StatusActive
Last updated in NPPESNov 4, 2025
Details
- NPI
- 1013895192
- Entity type
- Organization (NPI-2)
- Legal business name
- Tusculum Physician Services PC
- Organization subpart
- No
- Enumeration date
- Aug 26, 2025
- Certification date
- Nov 4, 2025
- Last updated
- Nov 4, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208M00000X | Hospitalist | – | – | Yes |
| 363A00000X | Physician Assistant | – | – | |
| 207R00000X | Internal Medicine | – | – | |
| 363L00000X | Nurse Practitioner | – | – |
Practice location
1420 Tusculum BlvdGreeneville, TN 37745-4279
Phone 423-787-5000 · Fax 423-787-5083
Mailing address
200 Corporate BlvdLafayette, LA 70508-3870
Phone 800-893-9698
Authorized official
Kenneth Heinrich
President/Owner
3376091221
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