Individual
ANTOIN H MARDINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10215 KINGSTON PIKE, STE 100, KNOXVILLE, TN 37922-3222
(865) 691-0733
Mailing address
1225 E WEISGARBER RD, STE 200, KNOXVILLE, TN 37909-2604
(865) 584-4747
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
26243
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110120181
RR MEDICARE PIN
TN
05
—
3088773
—
TN
Enumeration date
06/19/2006
Last updated
05/08/2008
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