Jellico Healthcare Associates LLC

NPI #1497297949 in Jellico, Tennessee

Provider Information

NPI Number: 1497297949
Entity Type: Organization
Organization Name: Jellico Healthcare Associates LLC
Primary Specialty: Emergency Medicine
Enumeration Date: Nov 15, 2016
Last Updated: Nov 15, 2016

Practice Location

Address: 188 HOSPITAL LN
City: Jellico
State: Tennessee
ZIP Code: 37762-4400
Phone: (423) 784-7252

Authorized Official

Name: MRS. KIM DOWELL
Title: CEO
Phone: (423) 784-7252

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X
Nurse Practitioner	363L00000X
Emergency Medicine	207P00000X	Primary

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Individual Providers

Provider Name	Specialty	City
DR. Benjamin Wayne D'ooge, M.D.	Emergency Medicine	Jellico	AI Deep Dive
DR. Terrence Wesley Leveck, MD	Emergency Medicine	Jellico	AI Deep Dive
Ruchi Gupta, MD	Emergency Medicine	Jellico	AI Deep Dive
DR. David Escalante, MD	Emergency Medicine	Jellico	AI Deep Dive

Organizations

Provider Name	Specialty	City
Jellico Emergency Physicians Medical Group PC	Emergency Medicine	Jellico	AI Deep Dive

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