Individual
ROCCO CANNISTRARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
501 20TH ST STE 503, KNOXVILLE, TN 37916-1832
(865) 331-4321
(865) 374-2078
Mailing address
501 20TH ST STE 503, KNOXVILLE, TN 37916-1832
(865) 331-4321
(865) 374-2078
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
ME129637
FL
2084V0102X
Vascular Neurology Physician
Primary
61421
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q058567
—
TN
Enumeration date
05/04/2015
Last updated
12/18/2024
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