# EAST TENNESSEE GASTROENTEROLOGY, PLLC

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

## Provider details

- **NPI number:** 1326370784
- **Authorized official:** DR. GEORGE SAMUEL D.O. (PRESIDENT)
- **Authorized official phone:** (423) 339-2000

## Contact information

- **Practice address:** 2404 CHAMBLISS AVE NW, CLEVELAND, TN 37311-3848
- **Practice address phone:** (423) 339-2000
- **Mailing address:** 2404 CHAMBLISS AVE NW, CLEVELAND, TN 37311-3848
- **Mailing address phone:** (423) 339-2000
- **Mailing address fax:** (423) 339-2043

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | 2102 | TN | Yes |

## Other

- **Enumeration date:** 02/09/2010
- **Last updated:** 04/01/2013