Individual
JEFFREY L SCHLACTUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
801 N WEISGARBER RD, SUITE 200, KNOXVILLE, TN 37909-2706
(865) 584-8588
(865) 584-3364
Mailing address
6701 BAUM DR, SUITE 140, KNOXVILLE, TN 37919-7360
(865) 584-5727
(865) 450-9904
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
MD16984
TN
207KA0200X
Allergy Physician
MD16984
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10011730
—
TN
05
—
3024285
—
TN
01
—
60072
BLUE CROSS
TN
Enumeration date
03/06/2007
Last updated
02/07/2012
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