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NPI Code Detail

MEDICARE: FORT SANDERS PERINATAL CENTER

MEDICARE: FORT SANDERS PERINATAL CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207VM0101XMaternal & Fetal Medicine PhysicianNO GROUP LICENSETN

General Provider Information

NPI Number : 1003811381
Entity Type Code : Organization
Provider Name (Legal Business Name) : FORT SANDERS PERINATAL CENTER
Provider Business Mailing Address
First Line : 501 19TH ST
Second Line : STE 401
City : KNOXVILLE
State : TN
Zip : 37916-1839
Country : US
Telephone Number : 865-331-2020
Fax Number : 865-331-1976
Provider Business Practice Location Address
First Line : 501 19TH ST
Second Line : STE 304
City : KNOXVILLE
State : TN
Zip : 37916-1839
Country : US
Telephone Number : 865-541-2020
Fax Number : 865-541-2019
Authorized Official
Title or Position : DIR OF FINANCE
Name : MS. DONNA THOMPSON
Credential :
Telephone Number : 865-331-2031
Provider Enumeration Date : 06/14/2005
Last Update Date : 07/26/2017

Similar Medicare Providers

1023013307 — DR. PERICLIS ROUSSIS M.D.
Practice Location Address:
501 19TH ST. , SUITE 401
KNOXVILLE, TN
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Practice Fax: 865-331-2019
1295730570 — DR. GARY WAYNE STEPHENS DO
Practice Location Address:
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1043293533 — MRS. CYNTHIA MAY MILLER ANP
Practice Location Address:
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37916-1839
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Practice Fax: 865-331-1976
1841261393 — MRS. AMY D DAVIS APN
Practice Location Address:
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37916-1839
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1730150293 — DR. GEORGE WILSON VICK II M.D.
Practice Location Address:
501 19TH ST STE 304
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37916-1839
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1912973066 — DR. DUY-THU P. D. MARTIN M.D.
Practice Location Address:
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37916-1839
Practice Phone: 865-546-6721
Practice Fax: 865-546-6724

Directions to “FORT SANDERS PERINATAL CENTER ” Practice Location

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