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General NPI Number Information
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NPI Number | 1760104392
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Entity Type | Organization
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Legal Business Name | APPALACHIAN HIGHLANDS MEDICAL LLC
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Dates
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Enumeration Date | 09/12/2022
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Last Update Date | 10/17/2025
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Provider Practice Location Address
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Address Line | 196 WILLS PRIVATE DR
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City | CHURCH HILL
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State | TN
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Zip | 37642-2800
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Country | US
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Telephone | 423-782-9266
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Fax | 423-616-9753
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Provider Business Mailing Address
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Address Line | 196 WILLS PRIVATE DR
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City | CHURCH HILL
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State | TN
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Zip | 37642-2800
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Country | US
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Telephone | 423-782-9266
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Fax | 423-616-9753
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Authorized Official
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Title or Position | OWNER
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Name | BRYAN D CARTER
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Credential |
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Telephone | 423-782-9266
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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