# DOCTORS CARE OF TENNESSE, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Doctors Care Knoxville West
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255670089
- **Authorized official:** DR. THOMAS E GIBBONS MD (CHIEF MEDICAL OFFICER)
- **Authorized official phone:** (803) 782-4278

## Contact information

- **Practice address:** 101 GLENLEIGH CT, KNOXVILLE, TN 37934-3052
- **Practice address phone:** (865) 675-3311
- **Practice address fax:** (865) 675-3322
- **Mailing address:** 1818 HENDERSON ST, COLUMBIA, SC 29201-2619
- **Mailing address phone:** (803) 758-2600
- **Mailing address fax:** (803) 253-8896

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | — | NULL | — |
| 207P00000X | Emergency Medicine Physician | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 208D00000X | General Practice Physician | — | NULL | — |
| 208D00000X | General Practice Physician | — | — | — |

## Other

- **Enumeration date:** 02/14/2013
- **Last updated:** 02/14/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3715066 | — | TN |