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Individual

GEORGE BINGHAM BROOKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
8707 ASHEVILLE HWY, KNOXVILLE, TN 37924-4502
(865) 933-4159
(865) 933-4065
Mailing address
8707 ASHEVILLE HWY, KNOXVILLE, TN 37924-4502
(865) 933-4159
(865) 933-4065

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO717
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0141199
MICHIGAN BLUE CROSS
TN
01
100011198
PHP
TN
01
110164271
RAILROAD MEDICARE
TN
01
141199
BLUE CROSS
TN
01
3734041
MEDICARE GROUP
TN
05
3734041
TN
01
5744789
AETNA
TN
01
TN0101
JOHN DEERE
TN
Enumeration date
06/16/2005
Last updated
06/30/2020
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