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Organization
FORT SANDERS OBSTETRICAL AND GYNECOLOGICAL GROUP, P.C.
Active
Organization
FORT SANDERS OBSTETRICAL AND GYNECOLOGICAL GROUP, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROY C. BROADY M.D. (PRESIDENT)
(865) 524-3208
Entity
Organization
Contact information
Practice address
501 19TH STREET, SUITE 509, KNOXVILLE, TN 37916-1853
(865) 524-3208
(865) 522-4322
Mailing address
501 19TH STREET, SUITE 509, KNOXVILLE, TN 37916-1853
(865) 524-3208
(865) 522-4322
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
08/15/2006
Last updated
06/16/2010
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