Healthcare Provider Details

I. General information

NPI: 1700051851
Provider Name (Legal Business Name): BAPTIST INFUSION THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2008
Last Update Date: 04/29/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3218 MORRIS AVE SUITE C
KNOXVILLE TN
37909-1527
US

IV. Provider business mailing address

3218 MORRIS AVE SUITE C
KNOXVILLE TN
37909-1527
US

V. Phone/Fax

Practice location:
  • Phone: 865-525-4886
  • Fax: 865-525-5995
Mailing address:
  • Phone: 865-525-4886
  • Fax: 865-525-5995

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number3190
License Number StateTN

VIII. Authorized Official

Name: MR. RONALD NOLAND SHERRILL
Title or Position: PRESIDENT
Credential: DPH,MPH
Phone: 865-525-4886