Individual
CLIFTON RAYMOND TENNISON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 W SPRINGDALE AVE, KNOXVILLE, TN 37917-5158
(865) 637-9711
Mailing address
201 W SPRINGDALE AVE, KNOXVILLE, TN 37917-5158
(865) 637-9711
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD14706
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
65214
BLUE CROSS
TN
Enumeration date
10/13/2006
Last updated
04/26/2011
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