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Individual

RYAN BAIRD PICKENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1928 ALCOA HWY, MOB B SUITE 222, KNOXVILLE, TN 37920-1502
(865) 305-9254
(865) 305-6133
Mailing address
1928 ALCOA HWY, MOB B SUITE 222, KNOXVILLE, TN 37920-1502
(865) 305-9254
(865) 305-6133

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
47346
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1524084
TN
01
4350680
BCBS OF TN
TN
Enumeration date
08/20/2008
Last updated
07/11/2013
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