Organization · Type 2 NPI

East Tennessee Surgical Group, P.c.

Specialist · Knoxville, TN

NPI number 1164589628 Active

Practice location

2001 Laurel Ave, Suite 204
Knoxville, TN 37916-1810

Call (865) 673-0288 Map

Fax (865) 522-8712

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1164589628

East Tennessee Surgical Group, P.c.'s National Provider Identifier is 1164589628, issued on Jan 3, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Knoxville, TN. The record was last updated on Aug 22, 2020.