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 provides Plastic Surgery Physician services 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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