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Contact Information

WESTSIDE GASTROINTESTINAL SPECIALISTS PLLC
9330 PARK WEST BLVD
STE 506
KNOXVILLE, TN37923
 Phone: 865-539-5372
 Fax: 865-539-5369
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for WESTSIDE GASTROINTESTINAL SPECIALISTS PLLC · (Female)

NPI Number 1306823976
Status Active
Credentials
Entity Individual
Enumeration date 12/27/2005
Last updated 06/05/2018 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers
  • TN License # MD000021220
  • TN Medicaid 3726442
  • TN Other 4087556 BCBS PROV #
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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