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1215717319
EVERNORTH CARE PROVIDERS - TENNESSEE PC
BATON ROUGE, LA
NPI
1215717319
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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
2023-10-05
Last Update Date
2024-02-14
Business Address
EVERNORTH CARE PROVIDERS - TENNESSEE PC
301 MAIN ST STE 2200
BATON ROUGE, LA 70801-0014
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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