| East Tennessee Vein Clinic, Pc | |
|
1344 Dowell Springs Blvd Knoxville TN 37909 | |
| (865) 686-0807 | |
| (865) 357-8346 |
| Full Name | East Tennessee Vein Clinic, Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1344 Dowell Springs Blvd, Knoxville, Tennessee |
| Authorized Official Name and Position | Darla Y Walker (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 8656860507 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| East Tennessee Vein Clinic, Pc Po Box 52333 Knoxville TN 37950-2333 Ph: (865) 686-0807 | East Tennessee Vein Clinic, Pc 1344 Dowell Springs Blvd Knoxville TN 37909 Ph: (865) 686-0807 |
| NPI Number | 1154442861 |
|---|---|
| Provider Enumeration Date | 04/02/2007 |
| Last Update Date | 02/24/2021 |
| Medicare PECOS PAC ID | 2961487442 |
|---|---|
| Medicare Enrollment ID | O20040619000062 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154442861 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 202K00000X (Tennessee) | Primary |
| Provider Name | Andrew M Douglass |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1023099736 PECOS PAC ID: 5991780132 Enrollment ID: I20050630000217 |
| Provider Name | Brittany N Clayton |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1225329790 PECOS PAC ID: 0840446712 Enrollment ID: I20120808000560 |
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