Individual
CARABETH WEST RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10215 KINGSTON PIKE, SUITE 100, KNOXVILLE, TN 37922-3222
(865) 691-0733
(865) 690-7530
Mailing address
1225 E WEISGARBER RD, SUITE 200, KNOXVILLE, TN 37909-2604
(865) 584-4747
(865) 584-1363
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
43495
TN
207R00000X
Internal Medicine Physician
TP302
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3706635
MEDICARE GROUP
TN
Enumeration date
05/07/2007
Last updated
05/29/2008
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