Organization
APPALACHIAN ORTHOTIC & PROSTHETIC SERVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FREDRICK M AVERY CP (PRESIDENT)
(865) 524-2285
Entity
Organization
Contact information
Practice address
2900 SUTHERLAND AVE, KNOXVILLE, TN 37919-4536
(865) 524-2285
(865) 971-5445
Mailing address
2900 SUTHERLAND AVE, KNOXVILLE, TN 37919-4536
(865) 524-2285
(865) 971-5445
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3556162
—
TN
01
—
92857
BLUE CROSS PROVIDER NUMBE
TN
Enumeration date
07/01/2005
Last updated
10/06/2008
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