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Individual

DR. EDWARD JOHN PRIMKA III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1450 DOWELL SPRINGS BLVD STE 210, KNOXVILLE, TN 37909-2448
(865) 524-2547
(865) 205-5601
Mailing address
PO BOX 23329, NEW YORK, NY 10087-3329

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
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