Organization Name: | DOCTORS CARE OF TENNESSEE, P.C. |
NPI Number: | 1134232184 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | THOMAS E GIBBONS (CHIEF MEDICAL OFFICER) |
Mailing Address: | 101 Glenleigh Ct Knoxville |
State: | TN US |
Postal Code: | 379343052 |
Phone Number: | 8656753311 |
Fax Number: | 8656753322 |
NPI Enumeration Date: | 08/16/2006 |
NPI Last Update Date: | 05/02/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |