| Tn River Medicine, Inc | |
|
259 N Peters Rd Ste 103 Knoxville TN 37923-4923 | |
| (865) 690-1255 | |
| (865) 690-4583 |
| Full Name | Tn River Medicine, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 259 N Peters Rd, Knoxville, Tennessee |
| Authorized Official Name and Position | Tina L. Smith (DIRECTOR) |
| Authorized Official Contact | 8656901255 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tn River Medicine, Inc 259 N Peters Rd Ste 103 Knoxville TN 37923-4923 Ph: (865) 690-1255 | Tn River Medicine, Inc 259 N Peters Rd Ste 103 Knoxville TN 37923-4923 Ph: (865) 690-1255 |
| NPI Number | 1801150362 |
|---|---|
| Provider Enumeration Date | 06/29/2012 |
| Last Update Date | 08/24/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801150362 | NPI | - | NPPES |
| 1528660 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Tennessee) | Primary |
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