NPI 1326441270

Bise, PLLC

Organisation Exclusive Provider Organization Surgoinsville, TN

Practice location

Address: 114 Bellamy Ave, Surgoinsville, TN 37873
Phone: (423) 345-0333
Mailing address: PO Box 105, Surgoinsville, TN 37873-0105

Authorised official

Name: Beth Bryan
Title: Owner
Phone: (423) 345-0333

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 4667 (TN)

Other Exclusive Provider Organization providers in Tennessee →

Registry record

NPI: 1326441270
Entity type: Organization
NPI issued: 7 Oct 2014
Record last updated: 11 Mar 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.