Individual
COURTNEY ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1926 ALCOA HWY STE 370, KNOXVILLE, TN 37920-1552
(865) 305-5622
Mailing address
9307 DAYBREAK DR, KNOXVILLE, TN 37931-4202
(865) 567-6852
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
23255
TN
363LF0000X
Family Nurse Practitioner
Primary
23255
TN
Other
Enumeration date
11/16/2017
Last updated
11/16/2017
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