| Professional Drivers Medical Depot | |
|
13060 Palestine Ln Knoxville TN 37934-0823 | |
| (865) 238-0288 | |
| Not Available |
| Full Name | Professional Drivers Medical Depot |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 13060 Palestine Ln, Knoxville, Tennessee |
| Authorized Official Name and Position | Mike Crabtree (CEO) |
| Authorized Official Contact | 8655311542 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Drivers Medical Depot Po Box 30757 Knoxville TN 37930-0757 Ph: (865) 531-1542 | Professional Drivers Medical Depot 13060 Palestine Ln Knoxville TN 37934-0823 Ph: (865) 238-0288 |
| NPI Number | 1306086277 |
|---|---|
| Provider Enumeration Date | 03/04/2009 |
| Last Update Date | 03/04/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306086277 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 4903535 (Tennessee) | Primary |
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