Individual
MALLORY IRWIN TREVINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7211 WELLINGTON DR, SUITE 201, KNOXVILLE, TN 37919-5968
(865) 584-5762
(865) 584-3403
Mailing address
1225 E WEISGARBER RD, SUITE 200, KNOXVILLE, TN 37909-2604
(865) 584-4747
(865) 584-1363
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
49522
TN
Other
Enumeration date
07/15/2011
Last updated
04/17/2015
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