Individual
JEFFREY FOKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2018 WESTERN AVE, KNOXVILLE, TN 37921-5718
(865) 544-0406
(865) 544-0480
Mailing address
6350 W A J HWY, DEPARTMENT 100, TALBOTT, TN 37877-8605
(800) 355-3565
(423) 714-2355
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
7775
TN
207Q00000X
Family Medicine Physician
Primary
7775
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3809580
—
TN
Enumeration date
08/10/2006
Last updated
04/11/2011
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