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Individual

NATHAN ERIC SCHROCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
101 BLOUNT AVE, STE 610, KNOXVILLE, TN 37920
(865) 632-5122
(865) 632-5116
Mailing address
PO BOX 10988, KNOXVILLE, TN 37939-0988
(865) 862-0998
(865) 544-1861

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
37971
KY
207RH0003X
Hematology & Oncology Physician
Primary
MD0000037305
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3884972
TN
01
64071244
MEDICAID
KY
Enumeration date
07/26/2005
Last updated
04/01/2008
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