MR. George Glen Massengill LADAC

  • 1033447263 NPI Number
  • |
  • Actived: 9 years ago
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According to our database, NPI number for MR. George Glen Massengill LADAC is 1033447263 and actived since Monday, November 30 2009. MR. George Glen Massengill LADAC is an individual provider specializes in Addiction (Substance Use Disorder), primary practice location is 188 Indian Mound Cir, Jacksboro, TN 37757. You can also contact MR. George Glen Massengill LADAC via telephone number is (423) 566-2437. Provider NPI information was last updated on 11/30/2009.

Recently Active NPIs

Overview of MR. George Glen Massengill LADAC

  • NPI number: 1003475005
  • Provider type: Individual
  • Specialty: Addiction (Substance Use Disorder)
  • Gender: Male
  • Active since: 11/30/2009
  • Last updated: 11/30/2009

Primary Scrop of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: 580
  • License State: TN

Provider Mailing Address

  • Address: 188 Indian Mound Cir
    Jacksboro, TN 37757
  • Phone: 423-566-2437
  • Fax: 423-566-2948

Provider Practice Location

  • Address: 188 Indian Mound Cir
    Jacksboro, TN 37757
  • Phone: 423-566-2437
  • Fax: 423-566-2948

Scope of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: 580
  • License State: TN
  • Switch: Yes

Question & Answers

What is the npi number?

  • Q: What is the npi number for MR. George Glen Massengill LADAC?
  • A: The npi number for MR. George Glen Massengill LADAC is 1033447263.
  • Q: What are MR. George Glen Massengill LADAC's specialties?
  • A: MR. George Glen Massengill LADAC's specialties are Addiction (Substance Use Disorder) and different specialities.
  • Q: What is the medical license for MR. George Glen Massengill LADAC?
  • A: The medical license number for MR. George Glen Massengill LADAC is 580 and issued in TN in USA.
  • Q: Where is MR. George Glen Massengill LADAC practice location?
  • A: MR. George Glen Massengill LADAC is practicing at 188 Indian Mound Cir, Jacksboro, TN 37757.
  • Q: How to contact MR. George Glen Massengill LADAC?
  • A: You can contact MR. George Glen Massengill LADAC via 423-566-2437.