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Individual

EDMUND T PALMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
294 SUMMAR DR, JACKSON, TN 38301-3915
(731) 423-1932
(731) 423-4919
Mailing address
294 SUMMAR DR, DEPT 289, JACKSON, TN 38301-3915
(731) 265-8220
(731) 265-8355

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9656
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
129522
BETTER HEALTH
TN
01
2178223
CIGNA
TN
05
3174484
TN
01
59982
BLUE CROSS BLUE SHIELD
TN
01
9280
TLC
TN
Enumeration date
07/07/2005
Last updated
07/12/2007
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