Organization
CLINIC FOR PRODUCTIVE LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD C ROLAND (OWNER)
(865) 394-9337
Entity
Organization
Contact information
Practice address
9217 PARK WEST BLVD, SUITE E1, KNOXVILLE, TN 37923-4404
(865) 394-9337
(865) 394-9336
Mailing address
9217 PARK WEST BLVD, SUITE E1, KNOXVILLE, TN 37923-4404
(865) 394-9337
(865) 394-9336
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APN11916
TN
Other
Enumeration date
10/15/2012
Last updated
10/15/2012
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