Organization
SEASONS OF FARRAGUT PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHAN W GOODYEAR MD (REGISTERED AGENT)
(865) 675-9355
Entity
Organization
Contact information
Practice address
10607 DEERBROOK DR, KNOXVILLE, TN 37922-1942
(865) 675-9355
Mailing address
10607 DEERBROOK DR, KNOXVILLE, TN 37922-1942
(865) 675-9355
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
09/15/2008
Last updated
08/26/2015
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