Healthcare Provider Details

I. General information

NPI: 1053392043
Provider Name (Legal Business Name): HOVIS ORTHOPAEDIC CLINIC PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2005
Last Update Date: 08/17/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 19TH ST STE 702
KNOXVILLE TN
37916-1854
US

IV. Provider business mailing address

501 19TH ST STE 702
KNOXVILLE TN
37916-1854
US

V. Phone/Fax

Practice location:
  • Phone: 865-524-0054
  • Fax: 865-524-7964
Mailing address:
  • Phone: 865-524-0054
  • Fax: 865-524-7964

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: WILLIAM MARVIN HOVIS
Title or Position: OWNER/PHYSICIAN
Credential: MD
Phone: 865-524-0054