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Individual

DR. GARY P. HURT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1924 ALCOA HWY, KNOXVILLE, TN 37920-1511
(269) 762-0048
Mailing address
5050 HAWK HILL WAY, MARYVILLE, TN 37801-3554

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
54585
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10/4669650
MI
05
10/4758310
MI
Enumeration date
06/14/2006
Last updated
12/07/2016
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