Surgical Group of Northeast Tennessee

NPI #1043322415 in Erwin, Tennessee

Provider Information

NPI Number: 1043322415
Entity Type: Organization
Organization Name: Surgical Group of Northeast Tennessee
Primary Specialty: Surgery
Enumeration Date: Aug 31, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 361 OKOLONA DR
City: Erwin
State: Tennessee
ZIP Code: 37650-2183
Phone: (423) 743-4151

Authorized Official

Name: MR. EDWARD JOHNSON FORE, M.D.
Title: MEDICAL DOCTOR
Phone: (423) 743-4151

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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