Individual
DR. CONNIE JO PENNINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
800 S GAY ST STE 100, KNOXVILLE, TN 37929-4040
(423) 534-9029
Mailing address
1 TALLAPOOSA RD, JOHNSON CITY, TN 37604-7187
(423) 534-9029
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD0000030358
TN
208600000X
Surgery Physician
Primary
30358
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3370584
—
TN
05
—
3875906
—
TN
Enumeration date
07/08/2005
Last updated
02/12/2026
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