Organization
KNOXVILLE GASTROENTEROLOGY CONSULTANTS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE K MAYS RN (OFFICE MANAGER)
(865) 531-4724
Entity
Organization
Contact information
Practice address
10800 PARKSIDE DR STE 201, KNOXVILLE, TN 37934-1922
(865) 531-4724
(865) 691-4526
Mailing address
10800 PARKSIDE DR STE 201, KNOXVILLE, TN 37934-1922
(865) 531-4724
(865) 691-4526
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
9663
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3194492
MEDICARE PTAN
TN
Enumeration date
08/18/2014
Last updated
01/16/2020
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