Organization
EAST TENNESSEE COLON & RECTAL SURGICAL ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORIE L CHASTEEN (BILLING)
(865) 392-9220
Entity
Organization
Contact information
Practice address
10810 PARKSIDE DR STE 201, KNOXVILLE, TN 37934-1983
(865) 392-9220
(865) 392-9221
Mailing address
10810 PARKSIDE DR STE 201, KNOXVILLE, TN 37934-1983
(865) 392-9220
(865) 392-9221
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
—
—
Other
Enumeration date
10/18/2006
Last updated
12/23/2019
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