Provider Demographics
NPI:1114336401
Name:INTEGRITY HEALTH AND WELLNESS
Entity Type:Organization
Organization Name:INTEGRITY HEALTH AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:PROSS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:865-579-6756
Mailing Address - Street 1:11606 CHAPMAN HWY
Mailing Address - Street 2:SUITE 3
Mailing Address - City:SEYMOUR
Mailing Address - State:TN
Mailing Address - Zip Code:37865-5270
Mailing Address - Country:US
Mailing Address - Phone:865-773-0285
Mailing Address - Fax:865-773-0385
Practice Address - Street 1:11606 CHAPMAN HWY
Practice Address - Street 2:SUITE 3
Practice Address - City:SEYMOUR
Practice Address - State:TN
Practice Address - Zip Code:37865-5270
Practice Address - Country:US
Practice Address - Phone:865-773-0285
Practice Address - Fax:865-773-0385
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-12
Last Update Date:2014-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty