Individual
JUSTINE CARRENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2515 FERNBANK RD, KNOXVILLE, TN 37924-1580
(423) 972-1767
Mailing address
2515 FERNBANK RD, KNOXVILLE, TN 37924-1580
(423) 972-1767
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36668
TN
Other
Enumeration date
01/20/2025
Last updated
01/20/2025
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