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NPI Code Detail

MEDICARE: DENISE M STURGILL

MEDICARE: DENISE M STURGILL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1720326010
Entity Type Code : Individual
Provider Name (Legal Business Name) : DENISE M STURGILL
Provider Business Mailing Address
First Line : 1037 CARRINGTON CT
Second Line :
City : KINGSPORT
State : TN
Zip : 37660-5694
Country : US
Telephone Number : 423-467-3600
Fax Number : 423-467-3644
Provider Business Practice Location Address
First Line : 1167 SPRATLIN PARK DR
Second Line :
City : GRAY
State : TN
Zip : 37615-6205
Country : US
Telephone Number : 276-431-4473
Fax Number : 423-467-3644
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/22/2013
Last Update Date : 01/22/2013

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Directions to “ DENISE M STURGILL ” Practice Location

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