# HEALTHCARE OF KNOXVILLE

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

## Provider details

- **NPI number:** 1245782903
- **Authorized official:** RAVI DANTULURI (MANAGER)
- **Authorized official phone:** (865) 816-6306

## Contact information

- **Practice address:** 4320 BALL CAMP PIKE, SUITE B, KNOXVILLE, TN 37921-3312
- **Practice address phone:** (865) 816-6306
- **Mailing address:** 4320 BALL CAMP PIKE, SUITE B, KNOXVILLE, TN 37921-3312
- **Mailing address phone:** (865) 816-6306

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 10/28/2016
- **Last updated:** 10/28/2016