Individual
J LARRY SIMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
460 MEDICAL PARK DR, SUITE 102, LENOIR CITY, TN 37772-5782
(865) 988-1883
Mailing address
130 MABRY HOOD RD, SUITE 103, KNOXVILLE, TN 37922-2221
(865) 690-6702
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
TN186
TN
Other
Enumeration date
03/20/2008
Last updated
03/20/2008
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