Organization
OAK RIDGE GASTROENTEROLOGY ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH F LUCKMANN MD (PRESIDENT)
(865) 483-4366
Entity
Organization
Contact information
Practice address
988 OAK RIDGE TPKE, SUITE 200, PHYSICIANS PLAZA, OAK RIDGE, TN 37830-6930
(865) 483-4366
(865) 483-5957
Mailing address
988 OAK RIDGE TPKE, SUITE 200, PHYSICIANS PLAZA, OAK RIDGE, TN 37830-6930
(865) 483-4366
(865) 483-5957
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
08/30/2005
Last updated
08/22/2020
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