Healthcare Provider Details

I. General information

NPI: 1235428533
Provider Name (Legal Business Name): HEATHER MELISSA REED-DAY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/07/2011
Last Update Date: 06/26/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1924 ALCOA HWY
KNOXVILLE TN
37920-1511
US

IV. Provider business mailing address

1431 CENTERPOINT BLVD STE 100
KNOXVILLE TN
37932-1983
US

V. Phone/Fax

Practice location:
  • Phone: 865-305-9402
  • Fax:
Mailing address:
  • Phone: 865-985-7109
  • Fax: 865-985-7077

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number51602
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: