Organization
EAST TENNESSEE ALLERGY PC
Active
Other names
Jeffrey L Schlactus MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY LLOYD SCHLACTUS MD (PRESIDENT STA)
(865) 584-2071
Entity
Organization
Contact information
Practice address
1120 E WEISGARBER RD, STE 102, KNOXVILLE, TN 37909
(865) 584-2071
(865) 584-2165
Mailing address
1120 E WEISGARBER RD, STE 102, KNOXVILLE, TN 37909
(865) 584-2071
(865) 584-2165
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
MD16984
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10011730
—
TN
01
—
60072
BC
TN
Enumeration date
09/12/2006
Last updated
08/24/2010
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