Organization
FAMILY ORTHOPEDIC CLINIC, PLLC
Active
Organization
FAMILY ORTHOPEDIC CLINIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
J MARK MACNAUGHTON MD (PRESIDENT)
(865) 218-7480
Entity
Organization
Contact information
Practice address
10810 PARKSIDE DR, STE 109, KNOXVILLE, TN 37934-1979
(865) 218-7480
(865) 218-7488
Mailing address
10810 PARKSIDE DR, SUITE 109, KNOXVILLE, TN 37934-1979
(865) 218-7480
(865) 218-7488
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1514945
—
TN
Enumeration date
05/27/2009
Last updated
08/25/2011
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