Individual
DR. GREGG MARTIN RADER SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7210 OAK RIDGE HWY, KNOXVILLE, TN 37931-2613
(865) 692-1400
Mailing address
7210 OAK RIDGE HWY, KNOXVILLE, TN 37931-2613
(865) 251-1234
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
000019461
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
119364106
UNITED HEALTHCARE
—
01
—
2622676
CIGNA
—
01
—
4049911
BLUE CROSS TN
TN
01
—
4450870
AETNA
—
01
—
687091
FIRST HEALTH
—
Enumeration date
07/07/2006
Last updated
11/18/2008
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