Organization
FORT SANDERS NEUROSURGICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN E NATELSON M.D. (PRESIDENT)
(865) 525-2601
Entity
Organization
Contact information
Practice address
2001 LAUREL AVE, SUITE 103, KNOXVILLE, TN 37916-1810
(865) 525-2601
(865) 544-3802
Mailing address
2001 LAUREL AVE, SUITE 103, KNOXVILLE, TN 37916-1810
(865) 525-2601
(865) 544-3802
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD7615
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2005526
BCBS
TN
05
—
3382950
—
TN
Enumeration date
01/18/2007
Last updated
08/22/2020
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