Individual
MR. LARRY WAYNE BERNARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
120 CAVETTE HILL LN, KNOXVILLE, TN 37934-6673
(865) 777-4000
Mailing address
7028 CHARTWELL RD, KNOXVILLE, TN 37931-2538
(865) 938-0567
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
000357
TN
Other
Enumeration date
09/24/2006
Last updated
07/08/2007
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