| Proclaim In Jesus Name | |
|
701 Dw Lillard Memorial Hwy Etowah TN 37331-1829 | |
| (423) 370-3536 | |
| Not Available |
| Full Name | Proclaim In Jesus Name |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 701 Dw Lillard Memorial Hwy, Etowah, Tennessee |
| Authorized Official Name and Position | Shannon Broling (PRESIDENT) |
| Authorized Official Contact | 4233703536 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Proclaim In Jesus Name Po Box 122 Etowah TN 37331-0122 Ph: () - | Proclaim In Jesus Name 701 Dw Lillard Memorial Hwy Etowah TN 37331-1829 Ph: (423) 370-3536 |
| NPI Number | 1861289076 |
|---|---|
| Provider Enumeration Date | 04/22/2025 |
| Last Update Date | 04/22/2025 |
| Certification Date | 04/22/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861289076 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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