| Ensemble Medical Pllc | |
|
417 Holly St Knoxville TN 37917-7815 | |
| (865) 633-9068 | |
| (865) 246-2106 |
| Full Name | Ensemble Medical Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 417 Holly St, Knoxville, Tennessee |
| Authorized Official Name and Position | Deaver T Shattuck (PRESIDENT) |
| Authorized Official Contact | 8656339068 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ensemble Medical Pllc Po Box 5777 Maryville TN 37802-5777 Ph: (865) 246-2104 | Ensemble Medical Pllc 417 Holly St Knoxville TN 37917-7815 Ph: (865) 633-9068 |
| NPI Number | 1821523101 |
|---|---|
| Provider Enumeration Date | 04/25/2017 |
| Last Update Date | 06/20/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821523101 | NPI | - | NPPES |
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