| Cbs Of The Tri-cities | |
|
2758 E Center St Kingsport TN 37664-2754 | |
| (423) 245-5608 | |
| (423) 245-5600 |
| Full Name | Cbs Of The Tri-cities |
|---|---|
| Speciality | Social Worker |
| Location | 2758 E Center St, Kingsport, Tennessee |
| Authorized Official Name and Position | Cheri Anglin (GENERAL PARTNER) |
| Authorized Official Contact | 4232455608 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cbs Of The Tri-cities 2758 E Center St Kingsport TN 37664-2754 Ph: (423) 245-5608 | Cbs Of The Tri-cities 2758 E Center St Kingsport TN 37664-2754 Ph: (423) 245-5608 |
| NPI Number | 1538237987 |
|---|---|
| Provider Enumeration Date | 12/02/2006 |
| Last Update Date | 10/18/2016 |
| Medicare PECOS PAC ID | 4486655347 |
|---|---|
| Medicare Enrollment ID | O20070122000102 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538237987 | NPI | - | NPPES |
| 3922813 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | LSW0000003421 (Tennessee) | Primary |
| Provider Name | Cheri L Anglin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578585469 PECOS PAC ID: 7214938174 Enrollment ID: I20070122000097 |
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