Individual
DR. RANDY THOMAS PARDUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
280 FORT SANDERS WEST BLVD, SUITE 101, KNOXVILLE, TN 37922-3398
(865) 539-0270
(865) 539-6998
Mailing address
280 FORT SANDERS WEST BLVD, SUITE 101, KNOXVILLE, TN 37922-3398
(865) 539-0270
(865) 539-6998
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20447
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3052151
—
TN
Enumeration date
05/25/2006
Last updated
08/07/2012
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