Individual
DR. PAUL EDWARD WITTKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1798 ROANE STATE HWY, HARRIMAN, TN 37748-8305
(865) 882-7470
(865) 882-8933
Mailing address
1798 ROANE STATE HWY, HARRIMAN, TN 37748-8305
(865) 882-7470
(865) 882-8933
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD008101
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4060532
BLUE CROSS
TN
Enumeration date
07/26/2006
Last updated
09/28/2020
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