| Knoxville Omnicare Pllc | |
|
1940 Alcoa Hwy E40 Knoxville TN 37920-2244 | |
| (865) 588-1605 | |
| (865) 588-1613 |
| Full Name | Knoxville Omnicare Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 1940 Alcoa Hwy, Knoxville, Tennessee |
| Authorized Official Name and Position | Ryan A Unger (OWNER) |
| Authorized Official Contact | 8659348365 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Knoxville Omnicare Pllc Dept 888167 Knoxville TN 37995-8167 Ph: (865) 670-6199 | Knoxville Omnicare Pllc 1940 Alcoa Hwy E40 Knoxville TN 37920-2244 Ph: (865) 588-1605 |
| NPI Number | 1053777169 |
|---|---|
| Provider Enumeration Date | 01/05/2016 |
| Last Update Date | 01/08/2016 |
| Medicare PECOS PAC ID | 6507169927 |
|---|---|
| Medicare Enrollment ID | O20160119002114 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053777169 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Tennessee) | Primary |
| Provider Name | Ryan A Unger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891926440 PECOS PAC ID: 8628227568 Enrollment ID: I20121009000340 |
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