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JEFFERSON PIERCE GILLUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
990 OAK RIDGE TPKE, OAK RIDGE, TN 37830-6976
(865) 835-4304
Mailing address
12240 HARPERS FERRY LN, KNOXVILLE, TN 37922-5290

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4359
TN
208M00000X
Hospitalist Physician
.
TN
208M00000X
Hospitalist Physician
0000004359
TN
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/26/2018
Last updated
08/13/2021
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