NPI 1639595754

Passport Health Holdings, LLC

Organisation Public Health & General Preventive Medicine Physician Knoxville, TN

Practice location

Address: 118 Huxley Rd STE 1, Knoxville, TN 37922-3183
Phone: (877) 358-8648
Fax: (877) 877-8675
Mailing address: 8324 E Hartford Dr #200, Scottsdale, AZ 85255

Authorised official

Name: Doug Shackell
Title: Director of Finance
Phone: (480) 646-9024

Registered specialties

Public Health & General Preventive Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2083P0901X

Other Preventive Medicine providers in Tennessee →

Registry record

NPI: 1639595754
Entity type: Organization
NPI issued: 13 Mar 2014
Record last updated: 29 Aug 2018

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.