Individual
DR. RANDALL E PEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 OAK RIDGE TURN PIKE, SUITE A-101, OAK RIDGE, TN 37830-6927
(865) 483-1093
(865) 482-8629
Mailing address
25 CROSSROADS DR STE 306, OWINGS MILLS, MD 21117-5437
(443) 738-2872
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD0000014439
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020247799
EEOICP
TN
01
—
1669416442
GROUP NPI
TN
05
—
3025129
—
TN
01
—
3106044
BLUE CROSS
TN
01
—
3106049
BLUE CROSS
TN
01
—
CI2260
RAILROAD MEDICARE
TN
Enumeration date
07/29/2005
Last updated
02/21/2019
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