Organization
EAST TENNESSEE PULMONARY AND CRITICAL CARE PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA POWERS (MANAGER)
(865) 207-6793
Entity
Organization
Contact information
Practice address
200 E BLOUNT AVE, SUITE 200, KNOXVILLE, TN 37920-1618
(865) 549-4413
(865) 549-4414
Mailing address
200 E BLOUNT AVE, SUITE 200, KNOXVILLE, TN 37920-1618
(865) 549-4413
(865) 549-4414
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3734519
—
TN
Enumeration date
07/05/2006
Last updated
08/23/2007
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