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Organization

OPTIMAL MEDICAL PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ASHLEY WILDER (CREDENTIALING MANAGER)
(865) 803-3188
Entity
Organization

Contact information

Practice address
8906 KINGSTON PIKE, KNOXVILLE, TN 37923-5003
(865) 474-7026
Mailing address
8906 KINGSTON PIKE, KNOXVILLE, TN 37923-5003
(865) 690-4200
(865) 357-3335

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary

Other

Enumeration date
07/19/2023
Last updated
01/27/2026
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