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Parkwest Gynecology 2 LLC

Specialist in Knoxville, TN. Organization (NPI-2).

NPI number1508306986
StatusActive
Last updated in NPPESMar 3, 2017

Details

NPI
1508306986
Entity type
Organization (NPI-2)
Legal business name
Parkwest Gynecology 2 LLC
Organization subpart
No
Enumeration date
Mar 3, 2017
Last updated
Mar 3, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
174400000X Specialist–TNYes

Practice location

9330 Parkwest Blvd
Suite 302
Knoxville, TN 37923

Phone 865-531-5878 · Fax 865-531-7690

Mailing address

Po Box 468029
Atlanta, GA 31146-8029

Phone 404-943-0205 · Fax 404-943-0209

Authorized official

Shelley Depp
Payer Relations Liaison
7705792626

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