Organization
TN RIVER MEDICINE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA L. SMITH (DIRECTOR)
(865) 690-1255
Entity
Organization
Contact information
Practice address
259 N PETERS RD, STE 103, KNOXVILLE, TN 37923-4923
(865) 690-1255
(865) 690-4583
Mailing address
259 N PETERS RD, STE 103, KNOXVILLE, TN 37923-4923
(865) 690-1255
(865) 690-4583
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528660
—
TN
Enumeration date
06/29/2012
Last updated
08/24/2012
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