Healthcare Provider Details

I. General information

NPI: 1225027865
Provider Name (Legal Business Name): DAVID MICHAEL RANKIN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/17/2005
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 BLOUNT AVE STE 101
KNOXVILLE TN
37920
US

IV. Provider business mailing address

101 BLOUNT AVE SUITE 740
KNOXVILLE TN
37920
US

V. Phone/Fax

Practice location:
  • Phone: 865-632-5885
  • Fax: 865-632-5893
Mailing address:
  • Phone: 865-632-5885
  • Fax: 865-632-5893

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD11391
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: