Healthcare Provider Details

I. General information

NPI: 1881671212
Provider Name (Legal Business Name): HEALTHCARE SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/28/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

219 NORTH AVE STE 201
LA FOLLETTE TN
37766-2732
US

IV. Provider business mailing address

219 NORTH AVE STE 201
LA FOLLETTE TN
37766-2732
US

V. Phone/Fax

Practice location:
  • Phone: 423-566-1314
  • Fax: 423-566-2466
Mailing address:
  • Phone: 423-566-1314
  • Fax: 423-566-2466

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. GARY B VERNA
Title or Position: PRESIDENT
Credential: PHD
Phone: 423-566-1314