E.E. Medical Consultants
Psychiatry & Neurology, Psychiatry in Kingston, TN. Organization (NPI-2).
NPI number1417360751
StatusActive
Last updated in NPPESJun 5, 2014
Details
- NPI
- 1417360751
- Entity type
- Organization (NPI-2)
- Legal business name
- E.E. Medical Consultants
- Organization subpart
- No
- Enumeration date
- Jun 4, 2014
- Last updated
- Jun 5, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | 39250 | TN | Yes |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 39250 | TN | |
| 363A00000X | Physician Assistant | 1137 | TN |
Practice location
150 Long RdKingston, TN 37763-5316
Phone 865-399-2681
Mailing address
150 Long RdKingston, TN 37763-5316
Phone 865-399-2681
Authorized official
Patrecia E Eaton
Managing Member
8653992681
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