# FORT SANDERS OBSTETRICAL AND GYNECOLOGICAL GROUP, P.C.

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

## Provider details

- **NPI number:** 1063525236
- **Authorized official:** DR. ROY C. BROADY M.D. (PRESIDENT)
- **Authorized official phone:** (865) 524-3208

## Contact information

- **Practice address:** 501 19TH STREET, SUITE 509, KNOXVILLE, TN 37916-1853
- **Practice address phone:** (865) 524-3208
- **Practice address fax:** (865) 522-4322
- **Mailing address:** 501 19TH STREET, SUITE 509, KNOXVILLE, TN 37916-1853
- **Mailing address phone:** (865) 524-3208
- **Mailing address fax:** (865) 522-4322

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/15/2006
- **Last updated:** 06/16/2010