Individual
JAE GYUN MAENG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9017 CROSS PARK DR STE 200, KNOXVILLE, TN 37923-8605
(865) 690-1161
(865) 381-1509
Mailing address
1275 DICK LONAS RD UNIT 101, KNOXVILLE, TN 37909-1383
(865) 584-4747
(865) 381-1509
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
73979
TN
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/28/2022
Last updated
05/13/2026
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