Individual
DR. HAROLD LYNN MASSINGALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9352 PARK WEST BLVD, KNOXVILLE, TN 37923-4325
(865) 373-1000
Mailing address
P O BOX 634706, CINCINNATI, OH 45263-4706
(865) 292-3000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
010735
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0050792
BLUE CROSS
TN
01
—
3095950
BLUE CROSS
TN
05
—
3177543
—
TN
05
—
64029283
—
KY
Enumeration date
06/07/2006
Last updated
11/29/2007
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