Organization
ADVANTAGE FAMILY HEALTHCARE, PLLC
Active
Other names
Campbell Station Primary Care Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT M MARTIN APRN, BC, RN, MT (CHIEF MANAGER)
(865) 675-7522
Entity
Organization
Contact information
Practice address
11541 KINGSTON PIKE 101, KNOXVILLE, TN 37934-3918
(865) 675-7522
(865) 671-3196
Mailing address
11541 KINGSTON PIKE 101, KNOXVILLE, TN 37934-3918
(865) 675-7522
(865) 671-3196
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100034888
PHP CARITEN ID NUMBER
TN
01
—
190646
UNITED HEALTHCARE GROUP #
TN
05
—
3728422
—
TN
01
—
4029196
BCBST GROUP
TN
01
—
4050284
BLUECROSS BLUESHIELD OF T
TN
01
—
7768236
AETNA US HEALTHCARE ID
TN
01
—
TN103
UNITED HEALTH RIVER VALL
TN
Enumeration date
03/09/2007
Last updated
07/21/2022
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