Individual
TIMOTHY R BUNKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
281 UNDERPASS DR, ONEIDA, TN 37841
(423) 569-5454
(423) 569-5902
Mailing address
1326 PAPERMILL POINTE WAY, KNOXVILLE, TN 37909-1903
(865) 219-3506
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
049851
GA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
53986
TN
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
MD53986
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01779038
AMERIGROUP
GA
05
—
451469306D
—
GA
01
—
466485
WELLCARE
GA
01
—
P01193373
RR MEDICARE
GA
05
—
Q022991
—
TN
Enumeration date
02/05/2007
Last updated
04/03/2020
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