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Individual

DR. ANTHONY SHANE MCRAVEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1431 CENTERPOINT BLVD, SUITE 100, KNOXVILLE, TN 37932-1984
(800) 342-2898
Mailing address
1431 CENTERPOINT BLVD, SUITE 100, KNOXVILLE, TN 37932-1984

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2405
TN
207R00000X
Internal Medicine Physician
22204
MS
207R00000X
Internal Medicine Physician
Primary
2405
TN

Other

Enumeration date
01/25/2012
Last updated
10/02/2015
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