OrganizationActive
East Tennessee Children'S Hospital Association Inc.
NPI 1003494352 · Plastic and Reconstructive Surgery Physician · Knoxville, TN
Provider details
- NPI number
- 1003494352
- Entity type
- Organization
- Primary specialty
- Plastic and Reconstructive Surgery PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- East Tennessee Children'S Hospital Association, Inc.
- Authorized official
- Andrew Rosendahl, Chief Financial Officer
Practice location
2100 Clinch Avenue Suite 510
Knoxville, TN 37916-2225
Phone: (865) 824-4939
Fax: (866) 630-2013
Mailing address
Po Box 15004
Knoxville, TN 37901-5004
Registry dates
- Enumerated
- 2021-03-30
- Last updated
- 2025-12-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.