Individual
DR. EMERSON JAY MOUNGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD MEDICAL DOCTOR
Contact information
Practice address
1932 ALCOA HWY, SUITE C 475, KNOXVILLE, TN 37920-1523
(865) 305-5000
(865) 305-5001
Mailing address
1932 ALCOA HWY, SUITE 475 BUILDING C, KNOXVILLE, TN 37920-1523
(865) 305-5000
(865) 305-5001
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD0000004719
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3150382
—
TN
01
—
4024485
BCBS
TN
Enumeration date
11/21/2006
Last updated
12/29/2009
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