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Individual

ANTHONY D. KHIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
101 BERRYWOOD DR, COLUMBIA, TN 38401-6409
(931) 381-2110
(931) 381-5178
Mailing address
101 BERRYWOOD DR, COLUMBIA, TN 38401-6409
(615) 599-1647

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
867084
TN
208800000X
Urology Physician
94865
GA
208800000X
Urology Physician
C4408
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3041871
BLUE CROSS BLUE SHIELD TN
TN
Enumeration date
08/03/2005
Last updated
10/16/2025
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