Healthcare Provider Details

I. General information

NPI: 1134352016
Provider Name (Legal Business Name): AMERICAN MEDICAL WORKS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2009
Last Update Date: 07/21/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11433 COUCH MILL RD
KNOXVILLE TN
37931-2908
US

IV. Provider business mailing address

11433 COUCH MILL RD
KNOXVILLE TN
37931-2908
US

V. Phone/Fax

Practice location:
  • Phone: 865-824-3403
  • Fax:
Mailing address:
  • Phone: 865-824-3403
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberMD42643
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: JEFFREY S MCCORMICK
Title or Position: PRESIDENT
Credential:
Phone: 865-824-3403