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Individual
JOHN WAYNE MCMICHEN
Active
Individual
JOHN WAYNE MCMICHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25941
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1507230
—
TN
01
—
4185180
BCBSTN THRU APPALACHIAN MED SVCS
TN
01
—
P00643329
RAILROAD MEDICARE
TN
Enumeration date
05/24/2006
Last updated
05/10/2017
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