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NPI Verification

National Provider Identifier: 1336950807

Advanced Practice Alliance

Organization

Primary Specialty

Family Medicine

Code: 207Q00000X

Practice Address

1508 TOMBRAS AVE

EAST RIDGE, TN 374122720

Phone: 423-867-4969

NPI Enumeration Date

January 15, 2025

NPI Number

1336950807

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry