Individual
MOEZ R PREMJI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
308 E BDWY, LENOIR CITY, TN 37771-3043
(865) 988-5774
(865) 988-5776
Mailing address
308 E BROADWAY ST, LENOIR CITY, TN 37771-3043
(865) 988-5774
(865) 988-5776
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
39023
TN
Other
Enumeration date
03/21/2006
Last updated
06/30/2020
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