Individual
DR. JACK EMILE SCARIANO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
139 FOX RD, SUITE 201, KNOXVILLE, TN 37922-3472
(865) 769-9595
(865) 769-9510
Mailing address
139 FOX RD, SUITE 201, KNOXVILLE, TN 37922-3472
(865) 769-9595
(865) 769-9510
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0000011457
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2006643
BLUE CROSS
TN
05
—
3169834
—
TN
Enumeration date
08/12/2005
Last updated
06/28/2011
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