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Organization

SELECT CARE SURGICAL ASSOCIATES P C

Active
Other names
John H Eason MD
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOHN HENRY EASON JR. MD (MD PRESIDENT)
(865) 988-4452
Entity
Organization

Contact information

Practice address
460 MEDICAL PARK DRIVE, SUITE 106, LENOIR CITY, TN 37772-5782
(865) 988-4452
(865) 988-6293
Mailing address
460 MEDICAL PARK DR STE 106, LENOIR CITY, TN 37772-5782
(865) 988-4452
(865) 988-6293

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
020049205
RAILROAD MCRE
01
100010807
PHPTC
TN
01
1740052
UNITED HEALTH
01
282829
ONE HEALTH
05
3061848
TN
01
3081453
BCBS
01
4359544002
CIGNA
Enumeration date
06/09/2006
Last updated
03/09/2009
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