| Preston Michael | |
|
10404 Jackson Oaks Way Knoxville TN 37922-3293 | |
| (865) 223-5835 | |
| Not Available |
| Full Name | Preston Michael |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 10404 Jackson Oaks Way, Knoxville, Tennessee |
| Authorized Official Name and Position | Preston Michael (OWNER) |
| Authorized Official Contact | 8652034528 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Preston Michael 6719 Maynardville Pike Suite B Knoxville TN 37918-5348 Ph: (865) 203-4528 | Preston Michael 10404 Jackson Oaks Way Knoxville TN 37922-3293 Ph: (865) 223-5835 |
| NPI Number | 1952680043 |
|---|---|
| Provider Enumeration Date | 08/08/2011 |
| Last Update Date | 02/25/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952680043 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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