Organization
TENNESSEE PREFERRED MEDICAL, LLC
Active
Organization
TENNESSEE PREFERRED MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRACY L HAWK (MANAGING MEMBER)
(865) 450-9191
Entity
Organization
Contact information
Practice address
6221 KINGSTON PIKE, KNOXVILLE, TN 37919-4022
(865) 450-9191
(865) 450-9354
Mailing address
6221 KINGSTON PIKE, KNOXVILLE, TN 37919-4022
(865) 450-9191
(865) 450-9354
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APN000002166
TN
Other
Enumeration date
07/29/2010
Last updated
02/09/2011
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