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Organization
HEALTHCARE OF KNOXVILLE
Active
Organization
HEALTHCARE OF KNOXVILLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAVI DANTULURI (MANAGER)
(865) 816-6306
Entity
Organization
Contact information
Practice address
4320 BALL CAMP PIKE, SUITE B, KNOXVILLE, TN 37921-3312
(865) 816-6306
Mailing address
4320 BALL CAMP PIKE, SUITE B, KNOXVILLE, TN 37921-3312
(865) 816-6306
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
NULL
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/28/2016
Last updated
10/28/2016
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