ENSEMBLE MEDICAL PLLC

KNOXVILLE, TN
NPI1821523101
Entity TypeOrganization
Authorized ContactDEAVER T SHATTUCK
President
865-633-9068
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
Additional Taxonomies2084P0800X Psychiatry & Neurology, Psychiatry
363LF0000X Nurse Practitioner, Family
363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date2017-04-25
Last Update Date2017-06-20
Business Address
ENSEMBLE MEDICAL PLLC
417 HOLLY ST
KNOXVILLE, TN 37917-7815
Phone number: 865-633-9068
Mailing Address
ENSEMBLE MEDICAL PLLC
PO BOX 5777
MARYVILLE, TN 37802-5777
Phone number: 865-246-2104