Healthcare Provider Details

I. General information

NPI: 1720007941
Provider Name (Legal Business Name): REGIONAL TRAUMA SURGEONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/19/2006
Last Update Date: 04/09/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1932 ALCOA HWY STE 270
KNOXVILLE TN
37920-1537
US

IV. Provider business mailing address

PO BOX 440268
NASHVILLE TN
37244-0268
US

V. Phone/Fax

Practice location:
  • Phone: 865-544-9433
  • Fax: 865-544-8688
Mailing address:
  • Phone: 865-670-6199
  • Fax: 865-670-6158

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0127X
TaxonomyTrauma Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. ADRIANNA D. PLUMMER
Title or Position: BILLING SUPERVISOR
Credential:
Phone: 865-251-4658