Individual
DR. GLENN EDWARD JEFFRIES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1926 ALCOA HWY, BLDG. F, SUITE 210, KNOXVILLE, TN 37920-1545
(865) 546-2663
(865) 546-9047
Mailing address
1926 ALCOA HWY, BLDG. F, SUITE 210, KNOXVILLE, TN 37920-1545
(865) 546-2663
(865) 546-9047
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD9044
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0940100
UNITED HEALTH CARE
TN
01
—
100020847
TENNCARE
TN
01
—
200029548
RAILROAD MEDICARE
TN
01
—
3071399
BLUE CROSS BLUE SHIELD
TN
05
—
3165599
—
TN
01
—
4537213
AETNA
TN
01
—
TN0109
JOHN DEERE HEALTHCARE
TN
01
—
TN0110
JOHN DEERE HEALTHCARE
TN
01
—
TN0178
JOHN DEERE HEALTHCARE
TN
Enumeration date
03/03/2006
Last updated
10/25/2013
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