Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

East Tennessee Plastic Surgery, PC

Organization Plastic Surgery Physician · NPI 1578687372

East Tennessee Plastic Surgery, PC is a Plastic Surgery Physician in Knoxville, Tennessee. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9430 Park West Blvd Ste 240
Knoxville, TN 37923-4204
Phone: (865) 694-9886
Fax: (865) 694-5023
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X

Record details

NPI number1578687372
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nancy Wilson — Office Manager · (865) 694-9886
NPI enumeratedMarch 19, 2007
Last updated in NPPESJune 22, 2020
Certification dateJune 22, 2020
Mailing address9430 Park West Blvd Ste 240, Knoxville, TN 37923-4204

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