Healthcare Provider Details

I. General information

NPI: 1811224348
Provider Name (Legal Business Name): CAMPBELL CUNNINGHAM & TAYLOR, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/04/2009
Last Update Date: 03/15/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12744 KINGSTON PIKE SUITE 108
KNOXVILLE TN
37934-0940
US

IV. Provider business mailing address

12744 KINGSTON PIKE SUITE 108
KNOXVILLE TN
37934-0940
US

V. Phone/Fax

Practice location:
  • Phone: 865-934-1700
  • Fax: 865-392-5533
Mailing address:
  • Phone: 865-934-1700
  • Fax: 865-392-5533

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MRS. RHONDA M GARRISON
Title or Position: CREDENTIALS COORD
Credential: BILLING DEPT
Phone: 865-584-2127