Organization
RENAISSANCE WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL FIELDS M.D. (MEDICAL DIRECTOR)
(865) 240-4802
Entity
Organization
Contact information
Practice address
7220 WELLINGTON DR, KNOXVILLE, TN 37919-5955
(865) 240-4802
(865) 240-4573
Mailing address
7220 WELLINGTON DR, KNOXVILLE, TN 37919-5955
(865) 240-4802
(865) 240-4573
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
17485
TN
Other
Enumeration date
06/25/2014
Last updated
06/25/2014
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