Healthcare Provider Details

I. General information

NPI: 1144200064
Provider Name (Legal Business Name): BOBBY CLAYTON HOWARD M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/18/2006
Last Update Date: 10/21/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1924 ALCOA HWY SOUTH 6-SOUTH
KNOXVILLE TN
37920-1511
US

IV. Provider business mailing address

1930 ALCOA HWY STE 435
KNOXVILLE TN
37920-1520
US

V. Phone/Fax

Practice location:
  • Phone: 865-305-8888
  • Fax: 865-305-2514
Mailing address:
  • Phone: 865-305-8888
  • Fax: 865-305-7090

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License Number18454
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License Number42131
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: