Provider Demographics
NPI:1295768182
Name:SOLLA, JULIO ANTONIO (MD)
Entity type:Individual
Prefix:DR
First Name:JULIO
Middle Name:ANTONIO
Last Name:SOLLA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1934 ALCOA HWY
Mailing Address - Street 2:SUITE D-370
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37920-1524
Mailing Address - Country:US
Mailing Address - Phone:865-305-5335
Mailing Address - Fax:865-305-8840
Practice Address - Street 1:1934 ALCOA HWY
Practice Address - Street 2:SUITE D-370
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37920-1524
Practice Address - Country:US
Practice Address - Phone:865-305-5335
Practice Address - Fax:865-305-8840
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2013-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD0000024234208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN280000588OtherRAILROAD MEDICARE
TN3074785Medicaid
TN3074785Medicaid
TN280000588OtherRAILROAD MEDICARE