Individual
NORMAN E LIDDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
1240 FOX MEADOWS BOULEVARD, SUITE 6, SEVIERVILLE, TN 37862-6928
(865) 428-4042
(865) 428-8191
Mailing address
1240 FOX MEADOWS BOULEVARD, SUITE 6, SEVIERVILLE, TN 37862-6928
(865) 428-4042
(865) 428-8191
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD28522
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10012098
PHP TENNCARE
TN
01
—
1578547758
HUMANA
TN
05
—
38043801
—
TN
01
—
3940202
UNITED HEALTHCARE
TN
01
—
4024131
BCBS
TN
01
—
4472010
AETNA
TN
01
—
702002822
CARITEN
TN
01
—
8710353
CIGNA
TN
Enumeration date
12/01/2005
Last updated
07/06/2010
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