Healthcare Provider Details

I. General information

NPI: 1063547453
Provider Name (Legal Business Name): RILEY S SENTER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/23/2007
Last Update Date: 02/22/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7035 MIDDLEBROOK PKE
KNOXVILLE TN
37909-1903
US

IV. Provider business mailing address

7035 MIDDLEBROOK PKE
KNOXVILLE TN
37909-1903
US

V. Phone/Fax

Practice location:
  • Phone: 865-934-2655
  • Fax: 865-622-9138
Mailing address:
  • Phone: 865-934-2655
  • Fax: 865-622-9138

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD000009519
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: