Provider Demographics
NPI:1053959320
Name:ARTHRITIS CONSULTANTS OF EAST TENNESSEE, PLLC
Entity type:Organization
Organization Name:ARTHRITIS CONSULTANTS OF EAST TENNESSEE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RHEUMATOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:K
Authorized Official - Last Name:WATTERSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD, FACR
Authorized Official - Phone:865-247-2033
Mailing Address - Street 1:10710 EAGLE GLEN DR
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37922-5566
Mailing Address - Country:US
Mailing Address - Phone:615-948-0279
Mailing Address - Fax:
Practice Address - Street 1:460 MEDICAL PARK DR STE 104
Practice Address - Street 2:
Practice Address - City:LENOIR CITY
Practice Address - State:TN
Practice Address - Zip Code:37772-5782
Practice Address - Country:US
Practice Address - Phone:865-247-2033
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-17
Last Update Date:2019-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty