Individual
DR. PATRICK HENRY BURKHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1702 E LAMAR ALEX PKWY, MARYVILLE, TN 37804-6204
(865) 977-0555
(865) 681-0963
Mailing address
1702 E LAMAR ALEX PKWY, MARYVILLE, TN 37804-6204
(865) 977-0555
(865) 681-0963
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD0000010267
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0014376
BLUE CROSS
TN
01
—
070000089
RAILROAD MEDICARE
TN
01
—
100021263
PHP TENNCARE
TN
01
—
2569651
CIGNA
TN
01
—
702002105
CARITEN
TN
01
—
TN0067682
TRICARE
TN
Enumeration date
10/10/2005
Last updated
11/30/2012
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