Provider Demographics
NPI:1760491153
Name:KNOXVILLE PULMONARY GROUP, P.A.
Entity Type:Organization
Organization Name:KNOXVILLE PULMONARY GROUP, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:BRANCA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:865-524-7471
Mailing Address - Street 1:1940 ALCOA HWY
Mailing Address - Street 2:SUITE E210
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37920-2244
Mailing Address - Country:US
Mailing Address - Phone:865-524-7471
Mailing Address - Fax:865-544-8676
Practice Address - Street 1:1940 ALCOA HWY
Practice Address - Street 2:SUITE E210
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37920-2244
Practice Address - Country:US
Practice Address - Phone:865-524-7471
Practice Address - Fax:865-544-8676
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty