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Contact Information

EAST TENN NEUROLOGY CL PC
9430 PARKWEST BLVD
SUITE 350
KNOXVILLE, TN37923-4203
 Phone: 865-531-9430
 Fax: 865-531-9580
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction Medicine

2084A0401X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for EAST TENN NEUROLOGY CL PC · (Female)

NPI # 1932308293
Status Active
Credentials
Entity Individual
Enumeration date 07/16/2007
Last updated 07/19/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • TN License # MD17875
  • TN Medicaid 3386763
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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