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Organization

NEUROLOGICAL & SPINESURGERY OF TENNESSEE

Active
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Organization

NEUROLOGICAL & SPINESURGERY OF TENNESSEE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT S DAVIS MD (OWNER/PRESIDENT)
(865) 670-9501
Entity
Organization

Contact information

Practice address
9333 PARK WEST BLVD, STE 104, KNOXVILLE, TN 37923-4341
(865) 670-9501
(865) 670-9573
Mailing address
9333 PARK WEST BLVD, STE 104, KNOXVILLE, TN 37923-4341
(865) 670-9501
(865) 670-9573

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
MD0000024313
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3000622
MEDICARE
TN
Enumeration date
07/25/2007
Last updated
12/17/2007
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