Individual
DR. MARC A. BODENHEIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4528 CHAPMAN HWY, KNOXVILLE, TN 37920-4359
(865) 579-3920
(865) 579-3963
Mailing address
4528 CHAPMAN HWY, KNOXVILLE, TN 37920-4359
(865) 579-3920
(865) 579-3963
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
MD28730
TN
207WX0120X
Cornea and External Diseases Specialist Physician
Primary
MD28730
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3839450
—
TN
Enumeration date
11/14/2005
Last updated
06/22/2020
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