Individual
MR. SEAN CANAWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5114 SPRING PETAL WAY, KNOXVILLE, TN 37912-3874
(865) 240-9322
Mailing address
5114 SPRING PETAL WAY, KNOXVILLE, TN 37912-3874
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
117657
AK
Other
Enumeration date
01/03/2017
Last updated
01/03/2017
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