NPI 1205167509

Advanced Medical Group

Organisation General Practice Physician Maryville, TN

Practice location

Address: 717 Watkins Rd, Maryville, TN 37801-4598
Phone: (865) 980-7802
Fax: (865) 980-7804
Mailing address: 615 Leeper Pkwy, Lenoir City, TN 37772-6151

Authorised official

Name: Terry Bragg
Title: President
Phone: (865) 982-7802

Registered specialties (3)

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 0682 (TN)

Other General Practice providers in Tennessee →

Adult Health Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LA2200X Licence 000011720 (TN)

Other Nurse Practitioner providers in Tennessee →

Adult Health Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LA2200X Licence 0000013567 (TN)

Registry record

NPI: 1205167509
Entity type: Organization
NPI issued: 26 Jan 2010
Record last updated: 26 Jan 2010

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.