Columbia Medical Groupdaystar INC

NPI #1417960733 in Athens, Tennessee

Provider Information

NPI Number: 1417960733
Entity Type: Organization
Organization Name: Columbia Medical Groupdaystar INC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Aug 15, 2006
Last Updated: Oct 17, 2007

Practice Location

Address: 748 TELL STREET
City: Athens
State: Tennessee
ZIP Code: 37303
Phone: (423) 744-8734

Authorized Official

Name: ELIZABETH J TULLOCK, LCSW
Title: DIRECTOR
Phone: (423) 744-8734

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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