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Individual

JON SIMPSON PARHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO, MPH

Contact information

Practice address
1924 ALCOA HWY, U-110, KNOXVILLE, TN 37920-1511
(865) 544-9351
(865) 544-9314
Mailing address
1924 ALCOA HWY, U-67, KNOXVILLE, TN 37920-1511
(865) 544-9352
(865) 544-9314

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO534
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01-41253
UNITED HEALTH CARE
TN
01
100011026
PHP TENNCARE
TN
01
1689631137
GROUP NPI
TN
01
3049827
BLUE CROSS/BLUE SHIELD
TN
05
3304482
TN
01
3304484
AETNA
TN
01
595988
CIGNA
TN
01
TN01G3
JOHN DEERE
TN
Enumeration date
05/05/2006
Last updated
09/28/2012
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