Broken Arrow
Broken Arrow is an Addiction Medicine (Family Medicine) Physician in Jefferson City, Tennessee. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
1009 E Highway 11 EJefferson City, TN 37760-4910
Phone: (865) 935-0411
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction Medicine (Family Medicine) Physician (primary) | Taxonomy 207QA0401X |
|---|
Record details
| NPI number | 1720841042 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Crissy Shank — Manager · (931) 761-5732 |
| Other names | Broken Arrow Llc |
| NPI enumerated | January 31, 2024 |
| Last updated in NPPES | January 31, 2024 |
| Certification date | January 31, 2024 |
| Mailing address | 1009 E Highway 11 E, Jefferson City, TN 37760-4910 |