East Tennessee State University
NPI #1295779361 in Mountain City, Tennessee
Provider Information
- NPI Number
- 1295779361
- Entity Type
- Organization
- Organization Name
- East Tennessee State University
- Primary Specialty
- Clinic/Center - Rural Health
- Enumeration Date
- Jun 16, 2006
- Last Updated
- Sep 22, 2017
Practice Location
- Address
- 1901 S SHADY STREET
- City
- Mountain City
- State
- Tennessee
- ZIP Code
- 37683-2601
- Phone
- (423) 727-1150
Authorized Official
- Name
- BETTY J KING
- Title
- ACTING CHIEF FINANCIAL OFFICER
- Phone
- (423) 439-4414
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rural Health — Rural Health |
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