Organization
BLOUNT GASTROENTEROLOGY ASSOC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STUART CRAIG JARVIS MD (PRESIDENT)
(865) 983-0073
Entity
Organization
Contact information
Practice address
1706 E LAMAR ALEXANDER PKWY, MARYVILLE, TN 37804-6204
(865) 983-0073
(865) 984-1731
Mailing address
1706 E LAMAR ALEXANDER PKWY, MARYVILLE, TN 37804-6204
(865) 983-0073
(865) 984-1731
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3381364
—
TN
Enumeration date
04/24/2006
Last updated
01/06/2010
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