Individual
DR. MARY PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2018 CLINCH AVE, KNOXVILLE, TN 37916-2301
(865) 541-8105
(865) 541-8713
Mailing address
PO BOX 15004, KNOXVILLE, TN 37901-5004
(865) 541-8895
(865) 633-4808
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
20488
TN
2080C0008X
Child Abuse Pediatrics Physician
Primary
20488
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q020174
—
TN
Enumeration date
06/28/2006
Last updated
06/07/2023
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