Earl Edward Breazeale in Knoxville - Specialist

Earl Edward Breazeale - NPI 1487649422

Earl Edward Breazeale is a Specialist in Knoxville, Tennessee. Earl Edward Breazeale practices all healthcare services and medical treatments related to Specialist. The NPI Number for Earl Edward Breazeale is 1487649422. The last update date is 2007-07-08.

Earl Edward Breazeale's current location address is 6700 Baum Dr, Knoxville, Tennessee. You can contact this provider via phone number 8655845727 and fax number 8654509904. The mailing address for Earl Edward Breazeale is 6700 Baum Dr, Knoxville, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Earl Edward Breazeale
Address 6700 Baum Dr, Knoxville, Tennessee
Phone Number 8655845727
Fax Number 8654509904
Sole Proprietor X
Credentials MD

NPI Number Detail

NPI Number 1487649422
Provider Enumeration Date 2005-09-15
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 6700 Baum Dr
City Knoxville
State Tennessee (TN)
Post Code 379197344
Phone Number 8655845727
Fax Number 8654509904

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No MD27172
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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FAQs about Earl Edward Breazeale

What is the Earl Edward Breazeale's 1487649422?

The Earl Edward Breazeale's NPI (National Provider Identifier) Number is 1487649422. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Earl Edward Breazeale is physically located?

The Earl Edward Breazeale is situated at the following address: 6700 Baum Dr, Knoxville, TN 379197344.

What is the Earl Edward Breazeale's specialty and taxonomy code?

The Earl Edward Breazeale's specialty is Specialist, and the corresponding taxonomy code is 174400000X.

On what date was the 1487649422 assigned to Earl Edward Breazeale?

The Earl Edward Breazeale was issued its 1487649422 on 2005-09-15, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Earl Edward Breazeale's details last updated?

The information pertaining to the Earl Edward Breazeale, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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