1417513177 NPI number — SOUTHERN ALLERGY AND MEDICAL CLINIC, INC.

Table of content: (NPI 1417513177)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1417513177 NPI number — SOUTHERN ALLERGY AND MEDICAL CLINIC, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SOUTHERN ALLERGY AND MEDICAL CLINIC, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1417513177
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/17/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 69
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NEW TAZEWELL
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
37824-0069
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
423-259-5704
Provider Business Mailing Address Fax Number:
423-259-5706

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
109 MAIN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEW TAZEWELL
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37825-6635
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
423-259-5704
Provider Business Practice Location Address Fax Number:
423-259-5706
Provider Enumeration Date:
05/17/2019

Additional Information

Authorized Official

Authorized Official Last Name:
BUSSELL
Authorized Official First Name:
SASHA
Authorized Official Middle Name:
LASHEA'
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
423-489-5841

Provider Taxonomy Codes

  • Taxonomy code: 261QP2300X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363A00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207KA0200X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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