Organization
PANOPTIC MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY SLAUGHTER (CEO)
(888) 266-5877
Entity
Organization
Contact information
Practice address
259 N PETERS RD STE 102, KNOXVILLE, TN 37923-4926
(865) 314-0425
Mailing address
259 N PETERS RD STE 102, KNOXVILLE, TN 37923-4926
(865) 314-0425
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
42643
TN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
—
—
207RH0005X
Hypertension Specialist Physician
—
—
Other
Enumeration date
01/22/2018
Last updated
01/22/2018
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