| 4c Therapeutics, Llc | |
|
111 Center Park Dr Ste 900 Knoxville TN 37922-2133 | |
| (865) 288-2112 | |
| Not Available |
| Full Name | 4c Therapeutics, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 111 Center Park Dr Ste 900, Knoxville, Tennessee |
| Authorized Official Name and Position | Jibby Lord Redfield (OWNER) |
| Authorized Official Contact | 8652882112 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 4c Therapeutics, Llc 12749 Heathland Dr Knoxville TN 37934-4442 Ph: (865) 386-6339 | 4c Therapeutics, Llc 111 Center Park Dr Ste 900 Knoxville TN 37922-2133 Ph: (865) 288-2112 |
| NPI Number | 1255088670 |
|---|---|
| Provider Enumeration Date | 03/05/2022 |
| Last Update Date | 03/05/2022 |
| Certification Date | 03/05/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255088670 | NPI | - | NPPES |
| 4482 | Other | TN | CASH BASE AGENCY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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