# TENNESSEE PREFERRED MEDICAL, LLC

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

## Provider details

- **NPI number:** 1265746465
- **Authorized official:** MRS. TRACY L HAWK (MANAGING MEMBER)
- **Authorized official phone:** (865) 450-9191

## Contact information

- **Practice address:** 6221 KINGSTON PIKE, KNOXVILLE, TN 37919-4022
- **Practice address phone:** (865) 450-9191
- **Practice address fax:** (865) 450-9354
- **Mailing address:** 6221 KINGSTON PIKE, KNOXVILLE, TN 37919-4022
- **Mailing address phone:** (865) 450-9191
- **Mailing address fax:** (865) 450-9354

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | APN000002166 | TN | Yes |

## Other

- **Enumeration date:** 07/29/2010
- **Last updated:** 02/09/2011