Organization
ALBERT C.S. EBENEZER, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALBERT C S EBENEZER M.D. (OWNER PHYSICIAN)
(865) 523-0614
Entity
Organization
Contact information
Practice address
2001 LAUREL AVE, NEWLAND PROFESSIONAL BUILDING SUITE 601, KNOXVILLE, TN 37916-1810
(865) 523-0614
(865) 546-2625
Mailing address
2001 LAUREL AVE, NEWLAND PROFESSIONAL BUILDING SUITE 601, KNOXVILLE, TN 37916-1810
(865) 523-0614
(865) 546-2625
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
7866
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7866
MEDICAL LICENSE
TN
Enumeration date
05/23/2007
Last updated
08/22/2020
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