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Advanced Medical Group
Adult Health Nurse Practitioner in Maryville, Tennessee
NPI 1205167509

Advanced Medical Group is an Adult Health Nurse Practitioner based in Lenoir City, TN and is specialized in Adult Health. Advanced Medical Group practices in Maryville, TN. The NPI Number for Advanced Medical Group is 1205167509 and holds a License No. 0682 (Tennessee).

The current practice location address for Advanced Medical Group is 717 Watkins Rd, Maryville, TN and can be reached out via phone at 865-980-7802 and via fax at 865-980-7804.

Location: 717 Watkins Rd, Maryville, TN, 37772-6151
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1205167509
Provider Name
Advanced Medical Group
Credential
Provider Entity Type
Organization
Address
717 Watkins Rd, Maryville, TN, 37772-6151
Phone Number
865-980-7802
Fax Number
865-980-7804
Provider Enumeration Date
01/26/2010
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1510839 05 TN
institution
Provider Business Practice Location Address Details
Address
717 Watkins Rd
City
Maryville
State
Tennessee
Zip
37801-4598
Phone Number
865-980-7802
Fax Number
865-980-7804
person
Provider Business Mailing Address Details
Address
717 Watkins Rd
City
Maryville
State
Tennessee
Zip
37801-4598
Phone Number
865-980-7802
Fax Number
865-980-7804
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
000011720 (Tennessee)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
0682 (Tennessee)
Definition
Definition to come...
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