Individual
BILLY CRIS BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
201 W SPRINGDALE AVE, KNOXVILLE, TN 37917-5158
(865) 637-9711
Mailing address
201 W. SPRINGDALE AVE., KNOXVILLE, TN 37917, KNOXVILLE, TN 37917
(865) 637-9711
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN0000030244
TN
Other
Enumeration date
03/15/2018
Last updated
03/15/2018
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