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Organization

KNOXVILLE KIDNEY CENTER, PLLC

Active
Other names
G. Edward Newman, MD, PLLC
Organization subpart
No

Provider details

NPI number
Authorized official
TAMMY A CONGER (PRACTICE ADMINISTRATOR)
(865) 692-3462
Entity
Organization

Contact information

Practice address
320 PARK 40 NORTH BLVD, SUITE A, KNOXVILLE, TN 37923-3624
(865) 692-3462
(865) 692-3463
Mailing address
320 N PARK 40 BLVD STE A, KNOXVILLE, TN 37923-3624
(865) 692-3462
(865) 692-3463

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
207RN0300X
Nephrology Physician
Primary
261QH0100X
Health Service Clinic/Center
32138
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
004125050
BLUECROSS BLUESHIELD OF TN
TN
01
DE8488
PGBA RAILROAD MEDICARE
TN
Enumeration date
07/18/2006
Last updated
02/16/2026
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