Individual
JERRY M WINSTON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
8609 KINGSTON PIKE, KNOXVILLE, TN 37923-5103
(865) 693-3441
(865) 769-8272
Mailing address
8609 KINGSTON PIKE, KNOXVILLE, TN 37923-5103
(865) 693-3441
(865) 769-8272
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
3448969
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2009205
BLUE CROSS BLUE SHIELD
TN
01
—
2240007
UNITED HEALTH CARE
TN
01
—
62073
CARITEN
TN
Enumeration date
08/18/2005
Last updated
07/08/2007
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