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

Southeastern Center for Fertility and Reproductive Surgery, PLLC

Organization Reproductive Endocrinology Physician · NPI 1043852601

Southeastern Center for Fertility and Reproductive Surgery, PLLC is a Reproductive Endocrinology Physician in Knoxville, Tennessee. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11126 Kingston Pike
Knoxville, TN 37934-2806
Phone: (865) 777-0088
Fax: (865) 777-2015
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Reproductive Endocrinology Physician (primary) Taxonomy 207VE0102X

Record details

NPI number1043852601
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Gordon — Owner · (865) 777-0088
NPI enumeratedOctober 15, 2019
Last updated in NPPESOctober 15, 2019
Mailing addressPo Box 25686, Belfast, ME 04915-2007

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