Organization
EARL EDWARD BREAZEALE, JR., MD, PC
Active
Other names
The Breazeale Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN BREAZEALE (OFFICE MANAGER)
(865) 342-0300
Entity
Organization
Contact information
Practice address
2068 LAKESIDE CENTRE WAY, KNOXVILLE, TN 37922-6591
(865) 342-0300
(865) 342-0301
Mailing address
2068 LAKESIDE CENTRE WAY, KNOXVILLE, TN 37922
(865) 342-0300
(865) 342-0300
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
09/13/2005
Last updated
09/03/2010
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