Samuel Tyler Anderson, MD
Internal Medicine in Knoxville, TN. Individual provider (NPI-1).
NPI number1013545367
StatusActive
Last updated in NPPESSep 10, 2024
Details
- NPI
- 1013545367
- Entity type
- Individual (NPI-1)
- Name
- Samuel Tyler Anderson
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 31, 2020
- Certification date
- Sep 10, 2024
- Last updated
- Sep 10, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 70430 | TN | Yes |
Practice location
220 Fort Sanders West Blvd Ste 301Knoxville, TN 37922-3398
Phone 865-690-3003 · Fax 865-374-2143
Mailing address
9330 Park West Blvd Ste 402Knoxville, TN 37923-4312
Phone 865-690-3003
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