# KNOXVILLE MEDICAL AND INDUSTRIAL CLINIC

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

## Provider details

- **NPI number:** 1790729515
- **Authorized official:** PHILLIP M WATSON M.D. (PRESIDENT/OWNER)
- **Authorized official phone:** (865) 522-2168

## Contact information

- **Practice address:** 4306 ASHEVILLE HWY, KNOXVILLE, TN 37914-3601
- **Practice address phone:** (865) 522-2168
- **Practice address fax:** (865) 522-7116
- **Mailing address:** 4306 ASHEVILLE HWY, KNOXVILLE, TN 37914-3601
- **Mailing address phone:** (865) 522-2168
- **Mailing address fax:** (865) 522-7116

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/15/2006
- **Last updated:** 04/22/2008