Individual
DR. BRENDA N PRITCHARD
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
501 19TH ST, SUITE 301, KNOXVILLE, TN 37916-1854
(865) 522-7591
(865) 546-2618
Mailing address
753 JOHNNIE DODDS BLVD, MT PLEASANT, SC 29464-3054
(843) 284-3400
(843) 284-3401
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
21210
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11074
MS MEDICAL LICENSE
MS
01
—
21210
TN MEDICAL LICENSE
TN
01
—
3028702
BCBS
TN
05
—
3061750
—
TN
01
—
4048784
BCBS
TN
05
—
64916562
—
KY
Enumeration date
05/11/2006
Last updated
07/08/2007
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