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Organization

BLOUNT ORTHOPAEDIC ASSOCIATES PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. TAMMY C BEARDSLEY-RAY (ADMINISTRATOR)
(865) 549-4857
Entity
Organization

Contact information

Practice address
2001 LAUREL AVE, SUITE 402 NEWLAND PROFESSIONAL BLDG., KNOXVILLE, TN 37916-1810
(865) 632-5577
(865) 632-5584
Mailing address
2001 LAUREL AVE, SUITE 402 NEWLAND PROFESSIONAL BLDG., KNOXVILLE, TN 37916-1810
(865) 632-5577
(865) 632-5584

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
15337
TN
207X00000X
Orthopaedic Surgery Physician
Primary
24287
TN
207X00000X
Orthopaedic Surgery Physician
37760
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3073961
TN
05
3801105
TN
05
3886823
TN
Enumeration date
08/21/2006
Last updated
12/05/2022
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