County of Grainger

NPI #1134110042 in Rutledge, Tennessee

Provider Information

NPI Number: 1134110042
Entity Type: Organization
Organization Name: County of Grainger
Primary Specialty: Ambulance
Enumeration Date: Oct 31, 2005
Last Updated: Mar 26, 2009

Practice Location

Address: 270 JUSTICE CENTER DRIVE,
Address 2: SUITE 101
City: Rutledge
State: Tennessee
ZIP Code: 37861
Phone: (865) 828-3682

Authorized Official

Name: MS. SHARON MCDANIEL
Title: OFFICE MANAGER
Phone: (865) 828-3682

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ambulance	341600000X	Primary

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