Individual
THOMAS J EBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
137 BLOUNT AVE, KNOXVILLE, TN 37871
(865) 632-5992
(865) 632-5316
Mailing address
PO BOX 11784, KNOXVILLE, TN 37939-1784
(865) 588-2928
(865) 450-9374
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
21500
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1140104
UHC
TN
05
—
3063693
—
TN
01
—
4011837
BCBS OF TN
TN
05
—
64721434
—
KY
Enumeration date
02/27/2006
Last updated
11/08/2007
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