Individual
MR. GREG MYTYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AT
Contact information
Practice address
1551 LAKE LOUDON BLVD, KNOXVILLE, TN 37916-4009
(865) 210-3030
Mailing address
1551 LAKE LOUDON BLVD, KNOXVILLE, TN 37916-4009
(865) 210-3030
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
000001670
TN
Other
Enumeration date
06/22/2023
Last updated
06/22/2023
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