Organization · NPI-2
Claiborne Health & Wellness INC.
Family Medicine · Tazewell, TN
NPI number1497350623
StatusActive
Last updated in NPPESSep 27, 2021
Details
- NPI
- 1497350623
- Entity type
- Organization (NPI-2)
- Legal business name
- Claiborne Health & Wellness INC.
- Organization subpart
- No
- Enumeration date
- Dec 4, 2020
- Certification date
- Sep 27, 2021
- Last updated
- Sep 27, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
| 2084P0804X | Psychiatry & Neurology, Child & Adolescent Psychiatry | – | – | |
| 363A00000X | Physician Assistant | – | – | |
| 363LF0000X | Nurse Practitioner, Family | – | – |
Practice location
1579 Tazewell RdTazewell, TN 37879-3607
Phone 423-869-3700
Mailing address
Po Box 720Harrogate, TN 37752-0720
Other practice locations
169 Westmoreland St
Harrogate, TN 37752-8253
Harrogate, TN 37752-8253
Phone 423-869-3700
Authorized official
Pamela Bays
Ceo, Owner
4238693700
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