Organization
ORTHOPAEDIC CENTER OF GREENEVILLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE C ROBERTS (OFFICE MANAGER)
(423) 787-0767
Entity
Organization
Contact information
Practice address
1406 TUSCULUM BLVD, SUITE 1000, GREENEVILLE, TN 37745-4341
(423) 787-0767
(423) 787-0243
Mailing address
1406 TUSCULUM BLVD, SUITE 1000, GREENEVILLE, TN 37745-4341
(423) 787-0767
(423) 787-0243
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
1736
TN
207X00000X
Orthopaedic Surgery Physician
Primary
25711
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1598879991
NPI MICHAEL J MENZ
—
01
—
1736
MEDICAL LICENSE DONALD M
—
01
—
1891776068
NPI DONALD M SANDERCOCK
—
01
—
25711
MICHAEL J MENZ MEDICAL LI
—
05
—
3378742
—
TN
01
—
4036256
BCBS MICHAEL J MENZ
—
01
—
4120705
BCBS DONALD M SANDERCOCK
—
01
—
F84775
DR MICHAEL J MENZ
—
Enumeration date
11/01/2006
Last updated
08/22/2020
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