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Organization
ECHELON SPORTS MEDICINE, PLLC
Active
Organization
ECHELON SPORTS MEDICINE, PLLC
Active
Other names
Provision Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN SPROUSE D.O. (OWNER)
(865) 309-5551
Entity
Organization
Contact information
Practice address
1400 DOWELL SPRINGS BLVD, SUITE 140, KNOXVILLE, TN 37909-2456
(865) 232-1408
Mailing address
510 OAKHURST DR, KNOXVILLE, TN 37919-6643
(865) 309-5551
(865) 381-1967
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
2248
TN
Other
Enumeration date
04/14/2014
Last updated
04/14/2014
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