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Contact Information

EVERNORTH CARE PROVIDERS - TENNESSEE PC
260 PEACHTREE ST NW STE 2200
ATLANTA, GA30303-1292
 Phone: 773-292-4800
 Fax: 312-564-4059
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for EVERNORTH CARE PROVIDERS TENNESSEE PC · (Female)

NPI # 1780461335
Status Active
Credentials
Entity Individual
Enumeration date 09/08/2023
Last updated 02/14/2024 - About 2 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
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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