Southwell Medical Llc.

NPI #1003520966 in Knoxville, Tennessee

Provider Information

NPI Number
1003520966
Entity Type
Organization
Organization Name
Southwell Medical Llc.
Primary Specialty
Nurse Practitioner
Enumeration Date
Jan 5, 2023
Last Updated
Jan 5, 2023

Practice Location

Address
207 LAKE FOREST DR
ZIP Code
37920-5144
Phone
(865) 455-4817

Authorized Official

Name
MR. JAKE HARRISON, FNP
Title
OWNER
Phone
(865) 455-4817

Specialties & Taxonomy Codes

Specialty
Podiatrist - Primary Podiatric MedicinePrimary Podiatric Medicine
Nurse Practitioner

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