Healthcare Provider Details

I. General information

NPI: 1942207154
Provider Name (Legal Business Name): ABERCROMBIE RADIOLOGICAL CONSULTANTS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2005
Last Update Date: 09/23/2025
Certification Date: 09/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1112 E WEISGARBER RD SUITE 201
KNOXVILLE TN
37909-2647
US

IV. Provider business mailing address

1112 E WEISGARBER RD STE 102
KNOXVILLE TN
37909-2647
US

V. Phone/Fax

Practice location:
  • Phone: 865-558-9862
  • Fax: 865-584-3478
Mailing address:
  • Phone: 865-558-9862
  • Fax: 865-584-3478

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number0
License Number StateTN

VIII. Authorized Official

Name: SHANNON POPIK HAMPSON
Title or Position: CEO
Credential:
Phone: 865-558-9862