Individual
MICHAEL L MAGGART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 E BLOUNT AVE, SUITE 800, KNOXVILLE, TN 37920-1632
(865) 632-5900
(865) 637-2114
Mailing address
101 E BLOUNT AVE, SUITE 800, KNOXVILLE, TN 37920-1632
(865) 632-5900
(865) 637-2114
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
MD0000014758
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3378302
—
TN
01
—
52220
BLUE CROSS BLUE SHIELD
TN
Enumeration date
11/21/2005
Last updated
06/29/2020
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