Individual
JEREMIAH N. BIVINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
801 N WEISGARBER RD, SUITE 200, KNOXVILLE, TN 37909-2706
(865) 584-8588
(865) 584-3364
Mailing address
6701 BAUM DR, SUITE 140, KNOXVILLE, TN 37919-7360
(865) 584-5727
(865) 450-9904
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
069545
GA
207K00000X
Allergy & Immunology Physician
45398
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/30/2008
Last updated
02/05/2014
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