Individual
DR. EDWIN EARL SPENCER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12600 WOODCOVE LN, KNOXVILLE, TN 37922-9330
(865) 216-6860
Mailing address
12600 WOODCOVE LN, KNOXVILLE, TN 37922-9330
(865) 216-6860
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD36487
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100039411
TENNCARE
TN
01
—
200046167
RAILROAD MEDICARE
TN
05
—
3876134
—
TN
01
—
4042447
BLUE CROSS BLUE SHIELD
TN
01
—
414315675
TRICARE
TN
01
—
7749348
AETNA
TN
01
—
TN01C3
JOHN DEERE HEALTHCARE
TN
01
—
TN01C4
JOHN DEERE HEALTHCARE
TN
Enumeration date
03/02/2006
Last updated
10/06/2025
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