Organization Name: | SCOTTS HILL CLINIC, INC. |
NPI Number: | 1396708830 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANNE F HICKS (ADMINISTRATOR) |
Mailing Address: | 644 Highway 114 S Scotts Hill |
State: | TN US |
Postal Code: | 383745023 |
Phone Number: | 7315493191 |
Fax Number: | 7315493005 |
NPI Enumeration Date: | 04/07/2006 |
NPI Last Update Date: | 03/15/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 614146642 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |