East Tennessee State University
NPI #1215045976 in Sneedville, Tennessee
Provider Information
- NPI Number
- 1215045976
- Entity Type
- Organization
- Organization Name
- East Tennessee State University
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Aug 25, 2006
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 2700 MAIN STREET
- City
- Sneedville
- State
- Tennessee
- ZIP Code
- 37869-0723
- Phone
- (423) 733-2819
Authorized Official
- Name
- DAVID D. COLLINS
- Title
- CFO, VP FINANCE & ADMINISTRATION
- Phone
- (423) 439-5884
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Primary Care — Primary Care |
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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