Organization
KNOXVILLE CONSULTANTS IN GASTROENTEROLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA CONLEY (OFFICE MANAGER)
(865) 531-8294
Entity
Organization
Contact information
Practice address
9349 PARK WEST BLVD, SUITE 202, KNOXVILLE, TN 37923-4306
(865) 531-8294
Mailing address
9349 PARK WEST BLVD, SUITE 202, KNOXVILLE, TN 37923-4306
(865) 531-8294
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD008974
TN
207RG0100X
Gastroenterology Physician
MD018257
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0095407
BLUE CROSS
TN
01
—
0131138
BLUE CROSS
TN
05
—
3702710
—
TN
Enumeration date
06/29/2007
Last updated
09/11/2007
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