Healthcare Provider Details

I. General information

NPI: 1730395104
Provider Name (Legal Business Name): ENDOCRINOLOGY CONSULTANTS OF EAST TN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2007
Last Update Date: 06/18/2025
Certification Date: 06/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1450 DOWELL SPRINGS BLVD STE 300
KNOXVILLE TN
37909-2444
US

IV. Provider business mailing address

1450 DOWELL SPRINGS BLVD
KNOXVILLE TN
37909-2442
US

V. Phone/Fax

Practice location:
  • Phone: 865-637-8812
  • Fax: 865-588-3383
Mailing address:
  • Phone: 865-617-8661
  • Fax: 865-588-3383

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number
License Number State

VIII. Authorized Official

Name: DANIEL K MCCAMMON
Title or Position: AUTHORIZED OFFICIAL
Credential:
Phone: 865-637-8812