Organization
KNOXVILLE AREA STONE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDY RUSSELL (BUS. OFF. COORDINATOR)
(888) 557-8457
Entity
Organization
Contact information
Practice address
705 GRIFFITH ST STE 205, DAVIDSON, NC 28036-9307
(888) 557-5427
Mailing address
705 GRIFFITH ST STE 205, DAVIDSON, NC 28036-9307
(888) 557-5427
Taxonomy
Speciality
Code
Description
License number
State
261QL0400X
Lithotripsy Clinic/Center
Primary
—
—
Other
Enumeration date
01/22/2007
Last updated
08/22/2020
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