# EAST TENNESSEE NEUROPATHY, PC

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

## Provider details

- **NPI number:** 1649511965
- **Authorized official:** ARTHUR DOUGLAS LENSGRAF (PRESIDENT)
- **Authorized official phone:** (423) 794-3142

## Contact information

- **Practice address:** 818 SUNSET DR, SUITE 103, JOHNSON CITY, TN 37604-8310
- **Practice address phone:** (423) 794-3142
- **Practice address fax:** (423) 794-3184
- **Mailing address:** PO BOX 50998, KNOXVILLE, TN 37950-0998
- **Mailing address phone:** (423) 794-3142
- **Mailing address fax:** (423) 794-3184

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 36478 | TN | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | 18742 | TN | — |
| 363A00000X | Physician Assistant | 1826 | TN | — |
| 363L00000X | Nurse Practitioner | 15083 | TN | — |

## Other

- **Enumeration date:** 03/12/2013
- **Last updated:** 03/12/2013