Individual
BRIAN T MOSRIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
103 MIDLAKE DR, KNOXVILLE, TN 37918-3039
(865) 687-1973
(865) 689-3445
Mailing address
1275 DICK LONAS RD UNIT 101, KNOXVILLE, TN 37909-1383
(865) 584-4747
(865) 584-1363
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
28609
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080123353
RR MEDICARE PIN
TN
05
—
3815735
—
TN
Enumeration date
06/09/2006
Last updated
05/06/2020
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