NPI 1043852601
Southeastern Center for Fertility and Reproductive Surgery, PLLC
Practice location
- Address
- 11126 Kingston Pike, Knoxville, TN 37934-2806
- Phone
- (865) 777-0088
- Fax
- (865) 777-2015
- Mailing address
- PO Box 25686, Belfast, ME 04915-2007
Authorised official
- Name
- John D. Gordon
- Title
- Owner
- Phone
- (865) 777-0088
Registered specialties
Reproductive Endocrinology Physician
Primary
Registry record
- NPI
- 1043852601
- Entity type
- Organization
- NPI issued
- 15 Oct 2019
- Record last updated
- 15 Oct 2019
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.