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1043856677
PAC OF TENNESSEE PC
BRISTOL, TN
NPI
1043856677
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Entity Type
Organization
Authorized Contact
KATHLEEN ANN HOLBROOK
Billing Office Manager
423-573-1502
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2019-11-19
Last Update Date
2019-11-19
Business Address
PAC OF TENNESSEE PC
1958 WEST STATE STREET SUITE 2
BRISTOL, TN 37620-2257
Phone number: 423-573-1502
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Mailing Address
PAC OF TENNESSEE PC
6 6TH ST STE 256
BRISTOL, TN 37620-2257
Phone number: 423-573-1502
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