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Individual
JOHN H. PROCTOR
Active
Individual
JOHN H. PROCTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
20700
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000076048
BLUECROSS
KY
05
—
00019934
—
MS
01
—
3051994
BLUECROSS
TN
05
—
3052175
—
TN
05
—
3052176
—
TN
05
—
3052177
—
TN
01
—
3077695
BLUECROSS
TN
01
—
3159791
BLUECROSS
TN
01
—
5M197
BLUECROSS
AR
05
—
64798630
—
KY
01
—
P00220920
RAILROAD MEDICARE
TN
01
—
P00248226
RAILROAD MEDICARE
TN
01
—
P00332581
RAILROAD MEDICARE
TN
Enumeration date
06/03/2006
Last updated
11/12/2007
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