# EAST TENNESSEE COLON & RECTAL SURGICAL ASSOCIATES PC

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

## Provider details

- **NPI number:** 1992886899
- **Authorized official:** LORIE L CHASTEEN (BILLING)
- **Authorized official phone:** (865) 392-9220

## Contact information

- **Practice address:** 10810 PARKSIDE DR STE 201, KNOXVILLE, TN 37934-1983
- **Practice address phone:** (865) 392-9220
- **Practice address fax:** (865) 392-9221
- **Mailing address:** 10810 PARKSIDE DR STE 201, KNOXVILLE, TN 37934-1983
- **Mailing address phone:** (865) 392-9220
- **Mailing address fax:** (865) 392-9221

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208C00000X | Colon & Rectal Surgery Physician | — | NULL | Yes |
| 208C00000X | Colon & Rectal Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/18/2006
- **Last updated:** 12/23/2019
