Individual
SAMUEL TYLER ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
220 FORT SANDERS WEST BLVD STE 301, KNOXVILLE, TN 37922-3398
(865) 690-3003
(865) 374-2143
Mailing address
9330 PARK WEST BLVD STE 402, KNOXVILLE, TN 37923-4312
(865) 690-3003
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
70430
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q091640
—
TN
Enumeration date
03/31/2020
Last updated
09/10/2024
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