Individual
DR. EDWARD JOHN PRIMKA III
Active
Individual
DR. EDWARD JOHN PRIMKA III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD0000035486
TN
207ND0101X
MOHS-Micrographic Surgery Physician
MD0000035486
TN
207NS0135X
Procedural Dermatology Physician
MD0000035486
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100035981
PHP TNCARE
TN
01
—
340133
UNITED HEALTHCARE
TN
01
—
3788990004
CIGNA
TN
05
—
386126
—
TN
01
—
4015496
BLUE CROSS BLUE SHIELD
TN
01
—
5533476
AETNA
TN
01
—
621247710
TRICARE FARRAGUT
SD
01
—
621247710001
TRICARE ST.MARY'S
TN
01
—
70015833
RAILROAD MEDICARE
SD
Enumeration date
12/22/2005
Last updated
04/02/2026
Update your record
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