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Innovative Vascular, Pllc
Vascular Surgery Physician in Lenoir City, Tennessee
NPI 1124750765

Innovative Vascular, Pllc is a Vascular Surgery Physician based in Knoxville, TN and is specialized in Vascular Surgery. Innovative Vascular, Pllc practices in Lenoir City, TN. The NPI Number for Innovative Vascular, Pllc is 1124750765 and holds a License No. (Tennessee).

The current practice location address for Innovative Vascular, Pllc is 460 Medical Park Dr Ste 104, Lenoir City, TN and can be reached out via phone at 865-562-3232.

Location: 460 Medical Park Dr Ste 104, Lenoir City, TN, 37919-8995
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1124750765
Provider Name
Innovative Vascular, Pllc
Credential
Provider Entity Type
Organization
Address
460 Medical Park Dr Ste 104, Lenoir City, TN, 37919-8995
Phone Number
865-562-3232
Fax Number
Provider Enumeration Date
06/30/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
460 Medical Park Dr Ste 104
City
Lenoir City
State
Tennessee
Zip
37772-5782
Phone Number
865-562-3232
Fax Number
person
Provider Business Mailing Address Details
Address
460 Medical Park Dr Ste 104
City
Lenoir City
State
Tennessee
Zip
37772-5782
Phone Number
865-562-3232
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
2086S0129X
License No.
()
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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