| Southern Medical Group Pllc | |
|
6600 Nightingale Ln Knoxville TN 37909-2754 | |
| (865) 632-5885 | |
| (865) 632-5893 |
| Full Name | Southern Medical Group Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6600 Nightingale Ln, Knoxville, Tennessee |
| Authorized Official Name and Position | Kathy A Kanipe (CREDENTIALING) |
| Authorized Official Contact | 8656325885 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Medical Group Pllc 6600 Nightingale Ln Knoxville TN 37909-2754 Ph: (865) 632-5885 | Southern Medical Group Pllc 6600 Nightingale Ln Knoxville TN 37909-2754 Ph: (865) 632-5885 |
| NPI Number | 1740332220 |
|---|---|
| Provider Enumeration Date | 01/17/2007 |
| Last Update Date | 11/15/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740332220 | NPI | - | NPPES |
| 611721701 | Other | TN | FEDERAL BALCK LUNG |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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