Healthcare Provider Details

I. General information

NPI: 1447875356
Provider Name (Legal Business Name): MNS3, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2020
Last Update Date: 04/13/2022
Certification Date: 04/13/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 S GAY ST STE 700
KNOXVILLE TN
37929-9703
US

IV. Provider business mailing address

1090 MARTHA GLASS DR
JEFFERSON CITY TN
37760-2078
US

V. Phone/Fax

Practice location:
  • Phone: 865-722-9186
  • Fax: 423-402-8117
Mailing address:
  • Phone: 865-262-0300
  • Fax: 833-985-2157

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DREW R. MONCRIEF
Title or Position: OWNER/PRESIDENT
Credential: DO
Phone: 573-280-7700