Organization
FAMILY ORTHOPEDIC CLINIC PLLC
Active
Organization
FAMILY ORTHOPEDIC CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
J MARK MACNAUGHTON M.D. (OWNER)
(865) 218-7480
Entity
Organization
Contact information
Practice address
10810 PARKSIDE DRIVE, SUITE 109, KNOXVILLE, TN 37934-1980
(865) 218-7480
(865) 218-7488
Mailing address
10810 PARKSIDE DRIVE, SUITE 109, KNOXVILLE, TN 37934-1980
(865) 218-7480
(865) 218-7488
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3069679
—
TN
Enumeration date
06/27/2007
Last updated
08/24/2010
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