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NPI Code Detail

MEDICARE: HEALTHSTAR PHYSICIANS, P.C.

MEDICARE: HEALTHSTAR PHYSICIANS, P.C.
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
1207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1942782883
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEALTHSTAR PHYSICIANS, P.C.
Provider Business Mailing Address
First Line : 121 NEWPORT TOWNE CTR
Second Line :
City : NEWPORT
State : TN
Zip : 37821-7391
Country : US
Telephone Number : 423-532-8621
Fax Number : 423-532-8704
Provider Business Practice Location Address
First Line : 121 NEWPORT TOWNE CTR
Second Line :
City : NEWPORT
State : TN
Zip : 37821-7391
Country : US
Telephone Number : 423-532-8621
Fax Number : 423-532-8704
Authorized Official
Title or Position : CFO
Name : ODESSA BRABSON
Credential :
Telephone Number : 423-581-5925
Provider Enumeration Date : 09/06/2018
Last Update Date : 03/09/2023

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