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Individual

EVELYN ALACANTARA SEVILLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
9217 PARK WEST BLVD, SUITE A3, KNOXVILLE, TN 37923-4404
(865) 531-2151
(865) 691-3464
Mailing address
9217 PARK WEST BLVD, SUITE A3, KNOXVILLE, TN 37923-4404
(865) 531-2151
(865) 691-3464

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD0000018516
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0081829
BLUE CROSS BLUE SHIELD
Enumeration date
07/03/2006
Last updated
07/08/2007
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