Provider Demographics
NPI:1447723515
Name:INTEGRATED MEDICAL SOLUTIONS OF KNOXVILLE
Entity type:Organization
Organization Name:INTEGRATED MEDICAL SOLUTIONS OF KNOXVILLE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:TRACEY
Authorized Official - Middle Name:
Authorized Official - Last Name:SHREVE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:865-584-7246
Mailing Address - Street 1:6725 PAPERMILL DR
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37919-4837
Mailing Address - Country:US
Mailing Address - Phone:865-584-7246
Mailing Address - Fax:865-584-7375
Practice Address - Street 1:6725 PAPERMILL DR
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37919-4837
Practice Address - Country:US
Practice Address - Phone:865-584-7246
Practice Address - Fax:865-584-7375
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-10
Last Update Date:2019-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty