| Doctor Name: | MR. ERIC R CHLEBISCH |
| NPI Number: | 1104922657 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA |
| License Number: | PA0000001364 |
| Business Practice Address: | 1406 Tusculum Blvd Suite 2000 Greeneville, TN - 377454332 |
| Business Phone Number: | 4237877080 |
| Business Fax Number: | 4237877087 |
| Mailing Address: | 1406 Tusculum Blvd, Suite 2000 GREENEVILLE |
| State: | TN |
| Postal Code: | 377454332 |
| Phone Number: | 4237877080 |
| Fax Number: | 4237877087 |
| NPI Enumeration Date: | 09/15/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | PA0000001364 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |