Individual
DR. JEA WOOK SIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 GLENLEIGH CT, KNOXVILLE, TN 37934-3052
(865) 675-3311
(865) 675-3322
Mailing address
1818 HENDERSON ST, COLUMBIA, SC 29201-2647
(803) 758-2600
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD013151
TN
207Q00000X
Family Medicine Physician
Primary
MD013151
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3831052
—
TN
Enumeration date
08/16/2006
Last updated
09/16/2009
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