Individual
DR. JOE THOMAS MANDRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
266 JOULE ST, ALCOA, TN 37701-2422
(865) 984-3864
(865) 380-4095
Mailing address
103 W BROADWAY AVE, MARYVILLE, TN 37801-4703
(865) 273-1752
(865) 273-1755
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
7986
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3154810
—
TN
Enumeration date
11/01/2006
Last updated
08/12/2019
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