Healthcare Provider Details
I. General information
NPI: 1598893166
Provider Name (Legal Business Name): WESTBROOK MEDICAL CENTER, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/02/2007
Last Update Date: 02/23/2023
Certification Date: 02/23/2023
Deactivation Date: 12/28/2022
Reactivation Date: 02/23/2023
III. Provider practice location address
7328 MIDDLEBROOK PIKE
KNOXVILLE TN
37909-3139
US
IV. Provider business mailing address
7328 MIDDLEBROOK PIKE
KNOXVILLE TN
37909-3139
US
V. Phone/Fax
- Phone: 865-769-2600
- Fax: 865-769-2616
- Phone: 865-769-2600
- Fax: 865-769-2616
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: DR.
ROBERT
E
MORRISON
Title or Position: OWNER
Credential: D.C.
Phone: 865-769-2600