Organization
VOLUNTEER PSYCHIATRIC CONSULTANTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LESLIE ALBERT MATHEWSON APN (OWNER)
(865) 531-9129
Entity
Organization
Contact information
Practice address
9040 EXECUTIVE PARK DR, SUITE 234, KNOXVILLE, TN 37923-4640
(865) 531-9129
(888) 843-7657
Mailing address
9040 EXECUTIVE PARK DR, SUITE 234, KNOXVILLE, TN 37923-4640
(865) 531-9129
(888) 843-7657
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10492
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3648105
MEDICARE TYPE UNSPECIFIED
TN
Enumeration date
03/07/2013
Last updated
03/07/2013
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