| Mercy Physician Services, Llc | |
|
200 Blount Avenue Suite 502 Knoxville TN 37920 | |
| (865) 549-4327 | |
| Not Available |
| Full Name | Mercy Physician Services, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 200 Blount Avenue, Knoxville, Tennessee |
| Authorized Official Name and Position | A. David Jimenez (PRESIDENT AND CEO) |
| Authorized Official Contact | 8655457558 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercy Physician Services, Llc 200 Blount Avenue Suite 502 Knoxville TN 37920 Ph: () - | Mercy Physician Services, Llc 200 Blount Avenue Suite 502 Knoxville TN 37920 Ph: (865) 549-4327 |
| NPI Number | 1336373885 |
|---|---|
| Provider Enumeration Date | 05/13/2009 |
| Last Update Date | 05/13/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336373885 | NPI | - | NPPES |
| 1515481 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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