Knoxville Medical And Industrial Clinic | |
4306 Asheville Hwy Knoxville TN 37914-3601 | |
(865) 522-2168 | |
(865) 522-7116 |
Full Name | Knoxville Medical And Industrial Clinic |
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Speciality | Family Medicine |
Location | 4306 Asheville Hwy, Knoxville, Tennessee |
Authorized Official Name and Position | Phillip M Watson (PRESIDENT/OWNER) |
Authorized Official Contact | 8655222168 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Knoxville Medical And Industrial Clinic 4306 Asheville Hwy Knoxville TN 37914-3601 Ph: (865) 522-2168 | Knoxville Medical And Industrial Clinic 4306 Asheville Hwy Knoxville TN 37914-3601 Ph: (865) 522-2168 |
NPI Number | 1790729515 |
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Provider Enumeration Date | 06/15/2006 |
Last Update Date | 04/22/2008 |
Medicare PECOS PAC ID | 1052508637 |
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Medicare Enrollment ID | O20101208000730 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790729515 | NPI | - | NPPES |
CB6822 | Other | TN | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | John Rennie Blake |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1447220363 PECOS PAC ID: 1658405113 Enrollment ID: I20100819000166 |
Provider Name | Phillip Michael Watson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1598735433 PECOS PAC ID: 2961699541 Enrollment ID: I20101208000798 |
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Foreveryoung Wellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5816 Kingston Pike Ste 1, Knoxville, TN 37919 Phone: 865-444-2130 | |
Ortho Sport & Spine Physicians Knoxville Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4005 Fountain Valley Dr Ste 350, Knoxville, TN 37918 Phone: 678-752-7246 | |
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