Organization
STATCARE INPATIENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSE DOERS MD (AUTHORIZED OFFICIAL)
(865) 909-0090
Entity
Organization
Contact information
Practice address
2240 SUTHERLAND AVE STE 103, KNOXVILLE, TN 37919-2333
(865) 909-0090
Mailing address
2240 SUTHERLAND AVE, SUITE 103, KNOXVILLE, TN 37919-2333
(865) 909-0090
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
04/11/2017
Last updated
04/19/2018
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