| Southeastern Psychiatry Specialists, Llc | |
|
6134 Industrial Heights Dr Knoxville TN 37909-1253 | |
| (865) 432-1521 | |
| Not Available |
| Full Name | Southeastern Psychiatry Specialists, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 6134 Industrial Heights Dr, Knoxville, Tennessee |
| Authorized Official Name and Position | Elizabeth Ault (PSYCHIATRIST) |
| Authorized Official Contact | 8654321521 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeastern Psychiatry Specialists, Llc 6134 Industrial Heights Dr Knoxville TN 37909-1253 Ph: () - | Southeastern Psychiatry Specialists, Llc 6134 Industrial Heights Dr Knoxville TN 37909-1253 Ph: (865) 432-1521 |
| NPI Number | 1295504660 |
|---|---|
| Provider Enumeration Date | 12/27/2023 |
| Last Update Date | 12/27/2023 |
| Certification Date | 12/27/2023 |
| Medicare PECOS PAC ID | 2365886603 |
|---|---|
| Medicare Enrollment ID | O20240329001005 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295504660 | NPI | - | NPPES |
| Provider Name | Elizabeth Roylance Ault |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619310257 PECOS PAC ID: 9234430604 Enrollment ID: I20240329001270 |
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