| Tennessee Psychiatry And Psychopharmacology Clinic, P.c. | |
|
9401 Park West Blvd Knoxville TN 37923-4202 | |
| (865) 690-8190 | |
| (865) 531-3536 |
| Full Name | Tennessee Psychiatry And Psychopharmacology Clinic, P.c. |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 9401 Park West Blvd, Knoxville, Tennessee |
| Authorized Official Name and Position | Raymond L Paine (PRESIDENT) |
| Authorized Official Contact | 8656908190 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tennessee Psychiatry And Psychopharmacology Clinic, P.c. 9401 Park West Blvd Knoxville TN 37923-4202 Ph: (865) 690-8190 | Tennessee Psychiatry And Psychopharmacology Clinic, P.c. 9401 Park West Blvd Knoxville TN 37923-4202 Ph: (865) 690-8190 |
| NPI Number | 1942350699 |
|---|---|
| Provider Enumeration Date | 01/12/2007 |
| Last Update Date | 06/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942350699 | NPI | - | NPPES |
| 1174524979 | Other | RR MEDICARE | |
| CB8543 | Other | TN | PALMETTO GBA |
| 1174524979 | Other | PALMETTO GBA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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