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Organization

PARKWEST GYNECOLOGY, P.C.

Active
Other names
Parkwest Ob-Gyn, P.C.
Organization subpart
No

Provider details

NPI number
Authorized official
LISA WILLIS (PRACTICE ADMINISTRATOR)
(865) 531-5878
Entity
Organization

Contact information

Practice address
9330 PARK WEST BLVD, ST 302, KNOXVILLE, TN 37923-4308
(865) 531-5878
(865) 531-7690
Mailing address
9330 PARK WEST BLVD, ST 302, KNOXVILLE, TN 37923-4308
(865) 531-5878
(865) 531-7690

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3039850
TN
05
3059247
TN
Enumeration date
03/19/2007
Last updated
06/13/2011
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