Healthcare Provider Details

I. General information

NPI: 1902022874
Provider Name (Legal Business Name): KNOXVILLE INTERNAL MEDICINE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 E BLOUNT AVE SUITE 740
KNOXVILLE TN
37920-1632
US

IV. Provider business mailing address

101 E BLOUNT AVE SUITE 740
KNOXVILLE TN
37920-1601
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 Number
License Number State

VIII. Authorized Official

Name: SCOTT CHAIN
Title or Position: PRACTICE ADM
Credential:
Phone: 865-632-5885