Individual
DR. MARYMER PATRICIA PERALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2018 W CLINCH AVE, KNOXVILLE, TN 37916-2301
(865) 541-8000
Mailing address
1741 SOMERSBY LN, KNOXVILLE, TN 37922-7243
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD39134
TN
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
MD39134
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4091357
BLUE CROSS
TN
05
—
5440437
—
TN
05
—
64096035
—
KY
Enumeration date
06/19/2006
Last updated
04/15/2022
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