Organization Name: | CRESCENT HEALTH GATLINBURG |
NPI Number: | 1649440348 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RHONDA D DAVIS (GENERAL MANAGER) |
Mailing Address: | 190 Community Center Dr Suite 103 Pigeon Forge |
State: | TN US |
Postal Code: | 378636251 |
Phone Number: | 8654464032 |
Fax Number: | 8658684746 |
NPI Enumeration Date: | 03/10/2008 |
NPI Last Update Date: | 11/05/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | TN0250 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |