Organization
WEST KNOXVILLE NEUROLOGICAL ASSOCIATE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERTA R CLASSEN (BILLING)
(843) 810-1260
Entity
Organization
Contact information
Practice address
300 PROSPERITY RD STE 103, KNOXVILLE, TN 37923-4717
(865) 769-9595
(865) 769-9510
Mailing address
300 PROSPERITY RD STE 103, KNOXVILLE, TN 37923-4717
(865) 769-9595
(865) 769-9510
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD 11457
TN
Other
Enumeration date
08/31/2006
Last updated
07/13/2011
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