Organization
TERRY M. BINGHAM, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY M BINGHAM M.D. (OWNER)
(865) 882-2442
Entity
Organization
Contact information
Practice address
2415 N GATEWAY AVE, SUITE A, HARRIMAN, TN 37748-8609
(865) 882-2442
(865) 882-0251
Mailing address
1855 TANNER WAY, SUITE 220, HARRIMAN, TN 37748-8302
(865) 882-2442
(865) 882-0251
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD0000010262
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0014290
BLUE CROSS OF TN
TN
01
—
020000758
RAILROAD MEDICARE
TN
01
—
1740063
UNITED HEALTHCARE
TN
01
—
TN0101
JOHN DEERE
TN
Enumeration date
09/26/2007
Last updated
10/06/2016
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