Provider Demographics
NPI:1356515662
Name:KNOXVILLE OBGYN CONSULTANTS, PC
Entity type:Organization
Organization Name:KNOXVILLE OBGYN CONSULTANTS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTY
Authorized Official - Middle Name:C
Authorized Official - Last Name:LONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:865-522-9730
Mailing Address - Street 1:501 19TH ST
Mailing Address - Street 2:STE 602
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37916-1854
Mailing Address - Country:US
Mailing Address - Phone:865-541-3227
Mailing Address - Fax:865-541-1223
Practice Address - Street 1:501 19TH ST
Practice Address - Street 2:STE 602
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37916-1854
Practice Address - Country:US
Practice Address - Phone:865-541-3227
Practice Address - Fax:865-541-1223
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-17
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes284300000XHospitalsSpecial Hospital