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Organization

INTERNAL MEDICINCE WEST A MEMBER OF COVENANT HEALTH

Active
Parent organization
COVENANT MEDICAL GROUP
Other names
Internal Medicine West, PLLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
COVENANT MEDICAL GROUP
Authorized official
MONTY SCOTT (PRESIDENT)
(865) 374-5100
Entity
Organization

Contact information

Practice address
9330 PARK WEST BLVD, SUITE 402, KNOXVILLE, TN 37923-4308
(865) 690-3003
(865) 690-6404
Mailing address
1400 CENTERPOINT BLVD, SUITE 202, KNOXVILLE, TN 37932-1979
(865) 374-5200
(865) 374-5201

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3712087
TN
Enumeration date
03/06/2007
Last updated
06/09/2015
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