Organization
ERIC R. CARLSON, MD, DMD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC R CARLSON MD, DMD (OWNER)
(865) 305-9021
Entity
Organization
Contact information
Practice address
1930 ALCOA HWY, STE 335, KNOXVILLE, TN 37920-1500
(865) 305-9021
(865) 305-9026
Mailing address
PO BOX 440131, NASHVILLE, TN 37244-0131
(865) 670-6199
(865) 670-6158
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
38394
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3227455
—
TN
Enumeration date
02/21/2008
Last updated
03/20/2008
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