| Knoxville Consultants In Gastroenterology Pc | |
|
9349 Park West Blvd Suite 202 Knoxville TN 37923-4306 | |
| (865) 531-8294 | |
| Not Available |
| Full Name | Knoxville Consultants In Gastroenterology Pc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 9349 Park West Blvd, Knoxville, Tennessee |
| Authorized Official Name and Position | Patricia Conley (OFFICE MANAGER) |
| Authorized Official Contact | 8655318294 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Knoxville Consultants In Gastroenterology Pc 9349 Park West Blvd Suite 202 Knoxville TN 37923-4306 Ph: (865) 531-8294 | Knoxville Consultants In Gastroenterology Pc 9349 Park West Blvd Suite 202 Knoxville TN 37923-4306 Ph: (865) 531-8294 |
| NPI Number | 1699972901 |
|---|---|
| Provider Enumeration Date | 06/29/2007 |
| Last Update Date | 09/11/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699972901 | NPI | - | NPPES |
| 3702710 | Medicaid | TN | |
| 0095407 | Other | TN | BLUE CROSS |
| 0131138 | Other | TN | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | MD008974 (Tennessee) | Primary |
| 207RG0100X | Internal Medicine - Gastroenterology | MD018257 (Tennessee) | Secondary |
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