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1992253025
HCC OF JELLICO LLC
JELLICO, TN
NPI
1992253025
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Entity Type
Organization
Authorized Contact
RON WEISS
CEO
972-934-3200
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2016-09-19
Last Update Date
2016-09-19
Business Address
HCC OF JELLICO LLC
188 HOSPITAL LN
JELLICO, TN 37762-4400
Phone number: 423-784-7252
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Mailing Address
HCC OF JELLICO LLC
17304 PRESTON RD
DALLAS, TX 75252-5618
Phone number: 972-934-3200
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