Individual
JUSTIN MARK HARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
80 VERMONT AVE, OAK RIDGE, TN 37830-6474
(865) 482-4078
(859) 323-1197
Mailing address
80 VERMONT AVE, OAK RIDGE, TN 37830-6474
(865) 482-4078
(859) 323-1197
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4808
TN
207RC0000X
Cardiovascular Disease Physician
Primary
4808
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q067230
—
TN
Enumeration date
03/22/2018
Last updated
05/16/2024
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