Individual
DR. JOHN HENRY EASON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
460 MEDICAL PARK DR STE 106, LENOIR CITY, TN 37772-5782
(865) 988-4452
(865) 988-6293
Mailing address
460 MEDICAL PARK DRIVE, SUITE 106, LENOIR CITY, TN 37772-5782
(865) 988-4452
(865) 988-6293
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD0000021520
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020049205
MEDICARE RAILROAD
TN
01
—
100010807
PHP TENNCARE
TN
01
—
1740052
UNITED HEALTH CARE
—
01
—
1962443069
NPI NO FOR GROUP ONLY DOC
—
01
—
282829
ONE HEALTH
—
05
—
3061848
—
TN
01
—
3081453
BLUE CARE
TN
01
—
4359544002
CIGNA
—
01
—
62-1762205
GROUP TAX ID
TN
Enumeration date
11/29/2006
Last updated
12/18/2012
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