Organization
GI FOR KIDS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YOUHANNA S. AL-TAWIL M.D. (OWNER)
(865) 546-3998
Entity
Organization
Contact information
Practice address
2100 W CLINCH AVE, KNOXVILLE, TN 37916-2219
(865) 546-3998
Mailing address
1701 ALCOTT MANOR LN, KNOXVILLE, TN 37922-8096
(865) 546-3998
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
133V00000X
Registered Dietitian
—
—
2080P0206X
Pediatric Gastroenterology Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
01/28/2009
Last updated
01/28/2009
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