Organization
EAST TENNESSEE GASTROENTEROLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE SAMUEL D.O. (PRESIDENT)
(423) 339-2000
Entity
Organization
Contact information
Practice address
2404 CHAMBLISS AVE NW, CLEVELAND, TN 37311-3848
(423) 339-2000
Mailing address
2404 CHAMBLISS AVE NW, CLEVELAND, TN 37311-3848
(423) 339-2000
(423) 339-2043
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
2102
TN
Other
Enumeration date
02/09/2010
Last updated
04/01/2013
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