Facts
- Status
- A
- Type
- Organization
- Enumeration date
- 2018-02-23
- Last updated
- 2018-02-23
Specialties
Licenses
- License TN
- Number not in the file
Location
- Practice location
- 2122 HILLCREST DR
- City
- GRAY TN
- Postal code
- 376152308
- Phone
- 423-788-6589
Organization contact
- Name
- CHRISTINE PAYNE
- Title
- Owner
- Phone
- 4237886589
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
The OIG NPI list is not in this build yet. Confirm on OIG's search.
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Removal request
Public data from NPPES and CMS. Not a credentialing determination.