Mancini, Gregory John

Mancini, Gregory John is an individual health care provider with primary practice located at 1934 Alcoa Hwy Ste 285 , Knoxville TN 37920-1528. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Mancini, Gregory John can be contacted via phone (865) 305-9620.

Contact Information

Primary practice address
1934 Alcoa Hwy Ste 285 Knoxville TN 37920-1528
Phone: (865) 305-9620
Fax: (865) 525-3460
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 40807 Tennessee

Profile Details

NPI number 1548211857
LBN Legal business name Mancini, Gregory John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Jan 25th, 2019 - about 6 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 1548211857 NPPES
Tennessee MEDICAID 3816963

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