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1174304976
EVERNORTH CARE PROVIDERS - TENNESSEE PC
FAIRFAX, VA
NPI
1174304976
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Entity Type
Organization
Authorized Contact
GRACE V BLUE
Credentialing Sr. Manager
773-292-4800
Organization Subpart ?
No
Primary Taxonomy
208D00000X General Practice
Enumeration Date
2023-10-09
Last Update Date
2024-02-14
Business Address
EVERNORTH CARE PROVIDERS - TENNESSEE PC
11350 RANDOM HILLS RD STE 800
FAIRFAX, VA 22030-6044
Phone number: 773-292-4800
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Mailing Address
EVERNORTH CARE PROVIDERS - TENNESSEE PC
730 COOL SPRINGS BLVD STE 500
FRANKLIN, TN 37067-7331
Phone number: 773-292-4800
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