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Individual

DR. JERRY LEE PUNCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6824 STONE MILL DR, KNOXVILLE, TN 37919-7496
(704) 905-4187
Mailing address
6824 STONE MILL DR, KNOXVILLE, TN 37919-7496
(704) 905-4187

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25642
NC

Other

Enumeration date
01/25/2012
Last updated
01/25/2012
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