Healthcare Provider Details
I. General information
NPI: 1295857100
Provider Name (Legal Business Name): QUALITY HEALTHCARE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/04/2007
Last Update Date: 11/14/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4320 BALL CAMP PIKE
KNOXVILLE TN
37921-3312
US
IV. Provider business mailing address
225 KIRKWALL LN
KNOXVILLE TN
37909-2171
US
V. Phone/Fax
- Phone: 865-544-1550
- Fax: 865-544-1570
- Phone: 865-544-1550
- Fax: 865-544-1570
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
IRINA
KOPT-ABRAMS
Title or Position: OWNER
Credential: NP
Phone: 865-544-1550