Provider Demographics
NPI:1902586175
Name:ANN DEGROFF CARTER PLLC
Entity type:Organization
Organization Name:ANN DEGROFF CARTER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANN
Authorized Official - Middle Name:DEGROFF
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:865-250-0694
Mailing Address - Street 1:448 N CEDAR BLUFF RD # 329
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37923-3612
Mailing Address - Country:US
Mailing Address - Phone:865-250-0694
Mailing Address - Fax:865-253-7670
Practice Address - Street 1:100 ELMHURST DR
Practice Address - Street 2:
Practice Address - City:OAK RIDGE
Practice Address - State:TN
Practice Address - Zip Code:37830-7621
Practice Address - Country:US
Practice Address - Phone:865-481-3367
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-21
Last Update Date:2023-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty