FRED R KNICKERBOCKER

BRISTOL, TN
NPI1588609242
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207X00000X Orthopaedic Surgery
(Licence: TN  10490)
Enumeration Date2006-06-18
Last Update Date2008-03-24
Business Address
Dr. FRED R KNICKERBOCKER M.D.
260 MIDWAY MEDICAL PARK SUITE 100
BRISTOL, TN 37620-1721
Phone number: 423-968-4446
Mailing Address
Dr. FRED R KNICKERBOCKER M.D.
260 MIDWAY MEDICAL PARK SUITE 100
BRISTOL, TN 37620-1721
Phone number: 423-968-4446