Provider Demographics
NPI:1417360751
Name:E.E. MEDICAL CONSULTANTS
Entity Type:Organization
Organization Name:E.E. MEDICAL CONSULTANTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:PATRECIA
Authorized Official - Middle Name:E
Authorized Official - Last Name:EATON
Authorized Official - Suffix:
Authorized Official - Credentials:PA
Authorized Official - Phone:865-399-2681
Mailing Address - Street 1:150 LONG RD
Mailing Address - Street 2:
Mailing Address - City:KINGSTON
Mailing Address - State:TN
Mailing Address - Zip Code:37763-5316
Mailing Address - Country:US
Mailing Address - Phone:865-399-2681
Mailing Address - Fax:
Practice Address - Street 1:150 LONG RD
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:TN
Practice Address - Zip Code:37763-5316
Practice Address - Country:US
Practice Address - Phone:865-399-2681
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-04
Last Update Date:2014-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN392502084P0800X, 313M00000X
TN1137363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care FacilityGroup - Multi-Specialty
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Multi-Specialty