Brent A Grishkin
Cardiothoracic Vascular Surgeon
9330 Park West Blvd Suite 108
Knoxville
, Tennessee 37923-4308
Brent A Grishkin
Cardiothoracic Vascular Surgeon
9330 Park West Blvd Suite 108
Knoxville
, Tennessee 37923-4308
(865) 769-8631
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About
Features
Specialties
- Cardiothoracic Vascular Surgeon
Languages spoken
- English
Location
First Address
- Brent A Grishkin
- 9330 Park West Blvd Suite 108
- Knoxville, TN
- Zip : 37923-4308
- Fax : (865) 769-8631
- Phone : (865) 769-8635
Second Address
- Brent A Grishkin
- 9330 Park West Blvd Suite 108
- Knoxville, TN
- Zip : 37923-4308
- Fax : (865) 769-8631
- Phone : (865) 769-8635
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208G00000X | Cardiothoracic Vascular Surgeon | 27702 | TN |
National Provider Identifier
| NPI | 1003809617 |
|---|---|
| Provider Name | Brent A Grishkin |
| First Address | Knoxville, TN 37923-4308 |
| Second Address | Knoxville, TN 37923-4308 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/08/2005 |
| Last Update Date | 10/08/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| F01121 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.