Organization
TEAM PHYSICIANS, PC
Active
Organization
TEAM PHYSICIANS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID ALAN TAYLOR (SENIOR VICE PRESIDENT)
(865) 985-7180
Entity
Organization
Contact information
Practice address
1431 CENTERPOINT BLVD, SUITE 100, KNOXVILLE, TN 37932-1984
(865) 985-7185
(865) 560-7379
Mailing address
P O BOX 634008, CINCINNATI, OH 45263-4008
(865) 985-7185
(865) 692-3390
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019642170002
—
PA
01
—
1462682
BCBS
PA
01
—
150312
THREE RIVERS
PA
01
—
1526651
GATEWAY
PA
01
—
20031464
AMERIHEALTH
PA
01
—
50030915
KEYSTONE
PA
01
—
DA3641
RAILROAD MEDICARE
PA
01
—
J611(DC)
CAREFIRST
PA
Enumeration date
07/07/2006
Last updated
07/12/2007
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