Organization
GI FOR KIDS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOUHANNA S. AL-TAWIL MD (OWNER)
(865) 546-3998
Entity
Organization
Contact information
Practice address
1975 TOWN CENTER BLVD, KNOXVILLE, TN 37922-6638
(865) 546-3998
(865) 546-1123
Mailing address
DEPT 888260, KNOXVILLE, TN 37995-8260
(865) 670-6199
(865) 670-6198
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
—
TN
2080P0206X
Pediatric Gastroenterology Physician
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q018806
—
TN
Enumeration date
12/21/2015
Last updated
10/05/2022
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