Grandview Physician Group LLC

NPI #1285769463 in Jasper, Tennessee

Provider Information

NPI Number: 1285769463
Entity Type: Organization
Organization Name: Grandview Physician Group LLC
Subpart: Yes (part of a larger organization)
Parent Organization: CAPELLA HEALTHCARE, INC.
Primary Specialty: General Practice
Enumeration Date: Feb 21, 2007
Last Updated: Oct 22, 2007

Practice Location

Address: 980 HIGHWAY 28
Address 2: SUITE 102
City: Jasper
State: Tennessee
ZIP Code: 37347-3695
Phone: (423) 837-9500

Authorized Official

Name: MR. EUGENE ANTHONY FAY
Title: VICE PRESIDENT
Phone: (615) 764-3007

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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