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Individual

GLENN E JUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2001 LAUREL AVE, SUITE N304, KNOXVILLE, TN 37916-1810
(865) 546-9484
Mailing address
2001 LAUREL AVE, SUITE N304, KNOXVILLE, TN 37916-1810
(865) 546-9484

Taxonomy

Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
MD26858
TN
2085R0202X
Diagnostic Radiology Physician
26858
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3372353
TN
Enumeration date
01/19/2006
Last updated
04/05/2023
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