Individual
DR. CHRISTY C. PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1932 ALCOA HWY, SUITE C-550, KNOXVILLE, TN 37920-1527
(865) 546-6554
(865) 522-4634
Mailing address
1932 ALCOA HWY, SUITE C-550, KNOXVILLE, TN 37920-1527
(865) 546-6554
(865) 522-4634
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
36-097633
IL
207R00000X
Internal Medicine Physician
42732
TN
207RR0500X
Rheumatology Physician
36-097633
IL
207RR0500X
Rheumatology Physician
Primary
42732
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
993310
—
IL
Enumeration date
04/04/2007
Last updated
08/27/2012
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