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Individual

JAMES EVERETT GLEAVES JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
200 BLOUNT AVENUE, SUITE 503, KNOXVILLE, TN 37920
(865) 577-2588
(865) 573-4331
Mailing address
200 BLOUNT AVENUE, SUITE 503, KNOXVILLE, TN 37920
(865) 577-2588
(865) 573-4331

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9069
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2002033
BCBST
Enumeration date
11/15/2006
Last updated
07/08/2007
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