NPI 1043503964

Medical Interactive Education, LLC

Organisation Neurology Physician Knoxville, TN

Practice location

Address: 106 W. Summit Hill Dr. Suite 301, Knoxville, TN 37902-1041
Phone: (865) 599-4409
Fax: (865) 546-5034

Authorised official

Name: John Dougherty
Title: Chief Medical Officer
Phone: (865) 599-4409

Registered specialties

Neurology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2084N0400X Licence 8309 (TN)

Other Psychiatry & Neurology providers in Tennessee →

Registry record

NPI: 1043503964
Entity type: Organization
NPI issued: 25 May 2011
Record last updated: 25 May 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.