# KNOXVILLE OMNICARE, PLLC

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

## Provider details

- **NPI number:** 1407240971
- **Authorized official:** DR. RYAN ALEXANDER UNGER M.D. (SOLE MEMBER, FOUNDER)
- **Authorized official phone:** (865) 934-8385

## Contact information

- **Practice address:** 1924 ALCOA HWY, KNOXVILLE, TN 37920-1511
- **Practice address phone:** (865) 305-5510
- **Mailing address:** 1201 SOUTHBREEZE CIR, KNOXVILLE, TN 37919-8441
- **Mailing address phone:** (865) 934-8385

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 49026 | TN | Yes |

## Other

- **Enumeration date:** 03/23/2015
- **Last updated:** 03/23/2015
