MEDICARE: KNOX WELLNESS PLLC

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	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1336536226
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KNOX WELLNESS PLLC

Provider Business Mailing Address
First Line	:	9320 KINGSTON PIKE
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37922-2319
Country	:	US
Telephone Number	:	865-444-5329
Fax Number	:	877-212-0388

Provider Business Practice Location Address
First Line	:	9320 KINGSTON PIKE
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37922-2319
Country	:	US
Telephone Number	:	865-357-6069
Fax Number	:	877-212-0388

Authorized Official
Title or Position	:	BUSINESS DIRECTOR
Name	:	ELIZABETH HOWARD
Credential	:
Telephone Number	:	865-444-5329

Provider Enumeration Date	:	04/19/2015
Last Update Date	:	03/21/2023

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