Organization
KNOXVILLE EMERGENCY PHYSICIANS GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN A RUSSELL M.D. (PRESIDENT)
(865) 679-5573
Entity
Organization
Contact information
Practice address
10820 PARKSIDE DR, EMERGENCY DEPT, KNOXVILLE, TN 37934-1956
(865) 988-3666
(865) 988-3666
Mailing address
PO BOX 1008, LENOIR CITY, TN 37771-1008
(865) 988-3666
(865) 988-3666
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3371107
—
TN
Enumeration date
12/17/2006
Last updated
10/09/2008
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