Organization
EAST TENNESSEE CARDIOVASCULAR SURGERY GROUP, P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT CRAIG BRENT (CAO)
(865) 632-5900
Entity
Organization
Contact information
Practice address
9125 CROSS PARK DRIVE, SUITE 200, KNOXVILLE, TN 37923-4505
(865) 632-5900
(865) 637-2114
Mailing address
9125 CROSS PARK DRIVE, SUITE 200, KNOXVILLE, TN 37923-4505
(865) 632-5900
(865) 637-2114
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
TN
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
TN
Other
Enumeration date
05/17/2006
Last updated
10/06/2015
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