MEDICARE: SARAH DEPEW

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	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	5587	TN
2	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1467015701
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH DEPEW

Provider Business Mailing Address
First Line	:	1924 ALCOA HWY
Second Line	:	BOX U 108
City	:	KNOXVILLE
State	:	TN
Zip	:	37920-1511
Country	:	US
Telephone Number	:	865-305-3278
Fax Number	:

Provider Business Practice Location Address
First Line	:	1924 ALCOA HWY
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37920-1511
Country	:	US
Telephone Number	:	865-305-3278
Fax Number	:	865-305-6866

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/22/2019
Last Update Date	:	05/15/2026

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Directions to “ SARAH DEPEW ” Practice Location

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