Hcc of Jellico LLC

NPI #1992253025 in Jellico, Tennessee

Provider Information

NPI Number: 1992253025
Entity Type: Organization
Organization Name: Hcc of Jellico LLC
Primary Specialty: Internal Medicine
Enumeration Date: Sep 19, 2016
Last Updated: Sep 19, 2016

Practice Location

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

Authorized Official

Name: RON WEISS
Title: CEO
Phone: (972) 934-3200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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