Individual
CARL S ORTHOEFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2240 SUTHERLAND AVE, STE 104, KNOXVILLE, TN 37919-2333
(865) 909-0090
(865) 909-9883
Mailing address
1225 E WEISGARBER RD, STE 200, KNOXVILLE, TN 37909-2604
(865) 584-4747
(865) 584-1363
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
31404
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110205242
RR MEDICARE PIN
TN
05
—
3851861
—
TN
Enumeration date
06/20/2006
Last updated
10/24/2013
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