Provider Demographics
NPI:1346219276
Name:EAST TENNESSEE URGENT CARE AND OCCUPATIONAL HEALTH
Entity Type:Organization
Organization Name:EAST TENNESSEE URGENT CARE AND OCCUPATIONAL HEALTH
Other - Org Name:EAST TOWNE URGENT CARE AND OCCUPATIONAL HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRES PLLC-CO OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAY
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMMETT
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:865-545-8700
Mailing Address - Street 1:4711 CENTERLINE DR.
Mailing Address - Street 2:SUITE 100
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37917-1405
Mailing Address - Country:US
Mailing Address - Phone:865-545-8700
Mailing Address - Fax:865-545-8704
Practice Address - Street 1:4711 CENTERLINE DR.
Practice Address - Street 2:SUITE 100
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37917-1405
Practice Address - Country:US
Practice Address - Phone:865-545-8700
Practice Address - Fax:865-545-8704
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-14
Last Update Date:2012-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty