Provider Demographics
NPI:1225156052
Name:INTEGRITY FAMILY PRACTICE, P.C.
Entity Type:Organization
Organization Name:INTEGRITY FAMILY PRACTICE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:NORWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:APRN, BC
Authorized Official - Phone:865-458-9080
Mailing Address - Street 1:702 GROVE ST
Mailing Address - Street 2:SUITE 204
Mailing Address - City:LOUDON
Mailing Address - State:TN
Mailing Address - Zip Code:37774-1481
Mailing Address - Country:US
Mailing Address - Phone:865-458-9080
Mailing Address - Fax:865-458-9096
Practice Address - Street 1:702 GROVE ST
Practice Address - Street 2:SUITE 204
Practice Address - City:LOUDON
Practice Address - State:TN
Practice Address - Zip Code:37774-1481
Practice Address - Country:US
Practice Address - Phone:865-458-9080
Practice Address - Fax:865-458-9096
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3727607Medicaid
TN3727607Medicare ID - Type Unspecified