Individual
PAUL BURT SERRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2018 WESTERN AVE, KNOXVILLE, TN 37921-5718
(865) 544-0406
(865) 544-0480
Mailing address
6350 W ANDREW JOHNSON HWY, DEPARTMENT 100, TALBOTT, TN 37877-8605
(800) 355-3565
(423) 714-2355
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD10143
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3149814
BLUE CROSS/BLUE SHIELD
TN
05
—
3723987
—
TN
01
—
390007315
RAILROAD MEDICARE
TN
Enumeration date
08/23/2005
Last updated
09/29/2020
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