SOUTHEASTERN CENTER FOR FERTILITY AND REPRODUCTIVE SURGERY PLLC NPI 1043852601

NPI Information

SOUTHEASTERN CENTER FOR FERTILITY AND REPRODUCTIVE SURGERY, PLLC is a reproductive endocrinology obstetrics gynecology in Knoxville, TN. The provider is an obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. SOUTHEASTERN CENTER FOR FERTILITY AND REPRODUCTIVE SURGERY, PLLC NPI is 1043852601. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11126 KINGSTON PIKE
KNOXVILLE, TN
ZIP 37934-806
Phone: (865) 777-0088
Fax: (865) 777-2015

The provider's authorized official is John D. Gordon .
The authorized official title is Owner and has the following contact phone number (865) 777-0088.

The CLIA number assigned to this NPI record is 44D0960489 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 10/15/2019 and was last updated on 10/15/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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