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Individual

GERALD SCOTT BORRELLI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2001 LAUREL AVE, STE 206, KNOXVILLE, TN 37916-1865
(865) 524-3131
(865) 212-6323
Mailing address
2001 LAUREL AVE, STE 206, KNOXVILLE, TN 37916-1865
(865) 524-3131
(865) 212-6323

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD31245
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3158711
BLUE CROSS
TN
05
3843024
TN
01
390007330
RAILROAD MEDICARE
TN
01
4405986
AETNA US HEALTHCARE
TN
01
602002329
CARITEN HEALTHCARE
TN
Enumeration date
06/22/2005
Last updated
07/14/2010
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