Individual
MARY E NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1819 CLINCH AVE STE 114, KNOXVILLE, TN 37916-2435
(865) 524-1631
Mailing address
PO BOX 26194, BELFAST, ME 04915-2012
(865) 584-4747
(865) 670-6198
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
42558
TN
208M00000X
Hospitalist Physician
42558
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3000477
—
TN
Enumeration date
07/10/2007
Last updated
11/21/2023
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