Healthcare Provider Details

I. General information

NPI: 1154244416
Provider Name (Legal Business Name): ANDERSON COUNTY MEDICAL INVESTORS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

960 S CHARLES G SEIVERS BLVD
CLINTON TN
37716-3882
US

IV. Provider business mailing address

960 S CHARLES G SEIVERS BLVD
CLINTON TN
37716-3882
US

V. Phone/Fax

Practice location:
  • Phone: 865-457-4005
  • Fax:
Mailing address:
  • Phone: 865-457-4005
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3104A0630X
TaxonomyAssisted Living Facility (Behavioral Disturbances)
License Number
License Number State

VIII. Authorized Official

Name: DORU MIHAESCU
Title or Position: COO
Credential:
Phone: 865-457-4005