Organization
KNOXVILLE MEDICAL AND INDUSTRIAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP M WATSON M.D. (PRESIDENT/OWNER)
(865) 522-2168
Entity
Organization
Contact information
Practice address
4306 ASHEVILLE HWY, KNOXVILLE, TN 37914-3601
(865) 522-2168
(865) 522-7116
Mailing address
4306 ASHEVILLE HWY, KNOXVILLE, TN 37914-3601
(865) 522-2168
(865) 522-7116
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CB6822
RAILROAD MEDICARE
TN
Enumeration date
06/15/2006
Last updated
04/22/2008
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