Organization
KNOXVILLE EYE ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP CLENDENIN (PRESIDENT)
(615) 665-1384
Entity
Organization
Contact information
Practice address
1124 E WEISGARBER RD, SUITE 110, KNOXVILLE, TN 37909-2686
(865) 588-1037
(865) 909-9104
Mailing address
1A BURTON HILLS BLVD, ATTN: PROVIDER ENROLLMENT, NASHVILLE, TN 37215-6187
(615) 240-3809
(615) 234-1809
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
10/24/2016
Last updated
10/24/2016
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