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NPI Code Detail

MEDICARE: DR. RHONDA S SIVLEY M.D.

MEDICARE: DR. RHONDA S SIVLEY M.D.
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
1207R00000XInternal Medicine Physician37091KY
2207R00000XInternal Medicine Physician43168TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1235135963
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RHONDA S SIVLEY M.D.
Provider Business Mailing Address
First Line : 1275 DICK LONAS RD UNIT 101
Second Line :
City : KNOXVILLE
State : TN
Zip : 37909-1383
Country : US
Telephone Number : 865-584-4747
Fax Number : 865-584-1363
Provider Business Practice Location Address
First Line : 9333 PARK WEST BLVD STE 200
Second Line :
City : KNOXVILLE
State : TN
Zip : 37923-4317
Country : US
Telephone Number : 865-531-4600
Fax Number : 833-908-2096
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2005
Last Update Date : 12/07/2020

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Directions to “ DR. RHONDA S SIVLEY M.D.” Practice Location

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