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Contact Information

SWEETWATER HOSPITAL ER PHYSICIAN GROUP
304 WRIGHT ST
SWEETWATER, TN37874
 Phone: 865-213-8200
 Fax: 865-213-8596
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for SWEETWATER HOSPITAL ER PHYSICIAN GROUP · (Female)

NPI Number 1083613905
Status Active
Credentials
Entity Individual
Enumeration date 07/21/2005
Last updated 06/06/2018 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers
  • TN License # 0000000089
  • TN Medicaid 3280256
  • Other 1000280 BLUE CROSS OF TN
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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