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NPI Code Detail

MEDICARE: BETH ANN SPROWLS

MEDICARE: BETH ANN SPROWLS
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
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1831858109
Entity Type Code : Individual
Provider Name (Legal Business Name) : BETH ANN SPROWLS
Provider Business Mailing Address
First Line : 5645 MERCHANTS CENTER BLVD
Second Line :
City : KNOXVILLE
State : TN
Zip : 37912-3470
Country : US
Telephone Number : 803-468-1483
Fax Number :
Provider Business Practice Location Address
First Line : 5645 MERCHANTS CENTER BLVD
Second Line :
City : KNOXVILLE
State : TN
Zip : 37912-3470
Country : US
Telephone Number : 803-468-1483
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/14/2021
Last Update Date : 06/21/2022

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Directions to “ BETH ANN SPROWLS ” Practice Location

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