Anderson, Nicholas Gray

Anderson, Nicholas Gray is an individual health care provider with primary practice located at 1124 E Weisgarber Rd Ste 207, Knoxville TN 37909-2686. He recently has only one registered license in Allopathic & Osteopathic Physicians / Retina Specialist, which is considered as his primary health care specialty. Anderson, Nicholas Gray can be contacted via phone (865) 588-0811.

Contact Information

Primary practice address
1124 E Weisgarber Rd Ste 207 Knoxville TN 37909-2686
Phone: (865) 588-0811
Fax: (865) 584-2153
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X 39535 Tennessee

Profile Details

NPI number 1972509297
LBN Legal business name Anderson, Nicholas Gray
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2005
Last updated Jun 30th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972509297 NPPES
Tennessee Other P00242478 RAILROAD MEDICARE
Tennessee MEDICAID 3329764 RAILROAD MEDICARE
Tennessee MEDICAID 010157684 RAILROAD MEDICARE

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