| Medical Interactive Education, Llc | |
|
106 W. Summit Hill Dr. Suite 301 Knoxville TN 37902-1041 | |
| (865) 599-4409 | |
| (865) 546-5034 |
| Full Name | Medical Interactive Education, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 106 W. Summit Hill Dr., Knoxville, Tennessee |
| Authorized Official Name and Position | John Dougherty (CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 8655994409 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Interactive Education, Llc 106 W. Summit Hill Dr. Suite 301 Knoxville TN 37902-1041 Ph: (865) 599-4409 | Medical Interactive Education, Llc 106 W. Summit Hill Dr. Suite 301 Knoxville TN 37902-1041 Ph: (865) 599-4409 |
| NPI Number | 1043503964 |
|---|---|
| Provider Enumeration Date | 05/25/2011 |
| Last Update Date | 05/25/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043503964 | NPI | - | NPPES |
| 3179569 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 8309 (Tennessee) | Primary |
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