Provider Demographics
NPI:1285848408
Name:BARNETT, AMY L (MD)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:L
Last Name:BARNETT
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:11440 PARKSIDE DRIVE
Mailing Address - Street 2:SUITE 302
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37934-2658
Mailing Address - Country:US
Mailing Address - Phone:865-288-1541
Mailing Address - Fax:865-377-1022
Practice Address - Street 1:11440 PARKSIDE DRIVE
Practice Address - Street 2:SUITE 302
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37934-2658
Practice Address - Country:US
Practice Address - Phone:865-288-1541
Practice Address - Fax:865-377-1022
Is Sole Proprietor?:No
Enumeration Date:2007-05-09
Last Update Date:2020-01-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA058924207R00000X
TNMD0000044925207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN103I110847Medicare PIN