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General NPI Number Information
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NPI Number | 1053261339
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Entity Type | Organization
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Legal Business Name | PRISMA HEALTH - BLOUNT MEMORIAL HOSPITAL INC.
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Dates
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Enumeration Date | 01/28/2026
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Last Update Date | 02/02/2026
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Provider Practice Location Address
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Address Line | 4233 HIGHWAY 411
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City | MADISONVILLE
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State | TN
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Zip | 37354-1571
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Country | US
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Telephone | 803-296-2548
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 402121
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City | ATLANTA
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State | GA
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Zip | 30384-2121
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Country | US
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Telephone | 803-296-2548
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | KRISTI LAWRENCE
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Credential |
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Telephone | 864-522-8611
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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