Individual
DR. JERRY LEE PRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
907 E LAMAR ALEXANDER PKWY, MARYVILLE, TN 37804-5015
(865) 983-7211
Mailing address
PO BOX 634706, CINCINNATI, OH 45263-0001
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD25695
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3085260
—
TN
05
—
3085269
—
TN
01
—
3090443
BLUE CROSS
TN
01
—
3090445
BLUE CROSS
TN
01
—
P00231571
RAILROAD MEDICARE
TN
Enumeration date
07/03/2006
Last updated
06/12/2025
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