Proclaim In Jesus Name

Specialty details in registry · Etowah, TN

Call (423) 370-3536 Directions

At a glance

701 Dw Lillard Memorial Hwy, Etowah, TN 37331-1829

NPPES record updated Apr 22, 2025. Public records can lag behind changes at a practice.

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Practice location

701 Dw Lillard Memorial Hwy
Etowah, TN 37331-1829

Professional details: NPI, taxonomy & registry record

NPI1861289076

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 251S00000X
Enumeration date: Apr 22, 2025
Record updated: Apr 22, 2025

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

251S00000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

701 Dw Lillard Memorial Hwy
Etowah, TN 37331-1829

Phone: (423) 370-3536

Mailing address

PO BOX 122

ETOWAH, TN 373310122

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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