# KNOXVILLE OMNICARE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053777169
- **Authorized official:** RYAN A UNGER MD (OWNER)
- **Authorized official phone:** (865) 934-8365

## Contact information

- **Practice address:** 1940 ALCOA HWY, E40, KNOXVILLE, TN 37920-2244
- **Practice address phone:** (865) 588-1605
- **Practice address fax:** (865) 588-1613
- **Mailing address:** DEPT 888167, KNOXVILLE, TN 37995-8167
- **Mailing address phone:** (865) 670-6199
- **Mailing address fax:** (865) 670-6198

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | TN | Yes |

## Other

- **Enumeration date:** 01/05/2016
- **Last updated:** 01/08/2016