Provider Demographics
NPI:1841619376
Name:NEPHROLOGY SERVICES OF EAST TENNESSEE LLC
Entity type:Organization
Organization Name:NEPHROLOGY SERVICES OF EAST TENNESSEE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:E
Authorized Official - Last Name:ATTRILL
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:615-327-3061
Mailing Address - Street 1:1633 CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-2990
Mailing Address - Country:US
Mailing Address - Phone:615-327-3061
Mailing Address - Fax:615-329-2513
Practice Address - Street 1:1851 CREST RD
Practice Address - Street 2:SUITE B
Practice Address - City:MARYVILLE
Practice Address - State:TN
Practice Address - Zip Code:37804-4304
Practice Address - Country:US
Practice Address - Phone:865-983-2212
Practice Address - Fax:865-983-0905
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-13
Last Update Date:2014-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty