Healthcare Provider Details

I. General information

NPI: 1013597426
Provider Name (Legal Business Name): TENNESSEE VEIN SPECIALISTS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/09/2021
Last Update Date: 07/20/2022
Certification Date: 07/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1344 DOWELL SPRINGS BLVD
KNOXVILLE TN
37909-2453
US

IV. Provider business mailing address

1344 DOWELL SPRINGS BLVD
KNOXVILLE TN
37909-2453
US

V. Phone/Fax

Practice location:
  • Phone: 865-686-0507
  • Fax:
Mailing address:
  • Phone: 865-686-0507
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code202K00000X
TaxonomyPhlebology Physician
License Number
License Number State

VIII. Authorized Official

Name: BRITTANY N CLAYTON
Title or Position: OWNER
Credential: MD
Phone: 865-604-1325