Provider Demographics
NPI:1710009956
Name:FAMILY CARE OF EAST TN, PLLC
Entity Type:Organization
Organization Name:FAMILY CARE OF EAST TN, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:E
Authorized Official - Last Name:SAWYER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:865-632-5500
Mailing Address - Street 1:211 E BLOUNT AVE
Mailing Address - Street 2:SUITE 3
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37920-1614
Mailing Address - Country:US
Mailing Address - Phone:865-632-5500
Mailing Address - Fax:865-549-2620
Practice Address - Street 1:211 E BLOUNT AVE
Practice Address - Street 2:SUITE 3
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37920-1614
Practice Address - Country:US
Practice Address - Phone:865-632-5500
Practice Address - Fax:865-549-2620
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CI2186OtherUHC RAILROAD MEDICARE
TN3715222Medicare ID - Type Unspecified