MEDICARE: WOMEN'S PHYSICIANS OF KNOXVILLE, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	MD39160	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1326083221
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WOMEN'S PHYSICIANS OF KNOXVILLE, PC

Provider Business Mailing Address
First Line	:	7420 BELLINGHAM DR
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37919-8183
Country	:	US
Telephone Number	:	865-769-8126
Fax Number	:

Provider Business Practice Location Address
First Line	:	939 EMERALD AVE
Second Line	:	SUITE 901
City	:	KNOXVILLE
State	:	TN
Zip	:	37917-4502
Country	:	US
Telephone Number	:	865-521-4900
Fax Number	:	865-521-4999

Authorized Official
Title or Position	:	PRESIDENT
Name	:	HEATHER K MOSS
Credential	:	MD
Telephone Number	:	865-521-4900

Provider Enumeration Date	:	06/17/2006
Last Update Date	:	08/22/2020

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