Organization · NPI-2

Family Physicians Of Greeneville

Family Medicine · Greeneville, TN

NPI number1720099708
StatusActive
Last updated in NPPESMay 14, 2012

Details

NPI
1720099708
Entity type
Organization (NPI-2)
Legal business name
Family Physicians Of Greeneville
Organization subpart
No
Enumeration date
Aug 11, 2006
Last updated
May 14, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine30267TNYes

Practice location

1410 Tusculum Blvd
Suite 2600
Greeneville, TN 37745-5819

Phone 423-787-7000

Mailing address

1410 Tusculum Blvd
Suite 2600
Greeneville, TN 37745-5819

Phone 423-787-7000

Authorized official

Kevin S Toppenberg
Secretary
4237877000

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