Individual
ISHAM C HEWGLEY, III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10820 PARKSIDE DR, 2ND FLOOR, KNOXVILLE, TN 37934-1956
(865) 218-7972
(865) 218-7973
Mailing address
10820 PARKSIDE DR, 2ND FLOOR, KNOXVILLE, TN 37934-1956
(865) 218-7972
(865) 218-7973
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
16850
TN
208M00000X
Hospitalist Physician
16850
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3025422
—
TN
01
—
P00986579
RR MEDICARE
TN
Enumeration date
01/03/2006
Last updated
05/03/2013
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