Organization
JACK SCARIANO JR MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK SCARIANO JR. MD (PHYSICIAN)
(865) 769-9595
Entity
Organization
Contact information
Practice address
139 FOX RD, SUITE 201, KNOXVILLE, TN 37922-3472
(865) 769-9595
Mailing address
139 FOX RD, SUITE 201, KNOXVILLE, TN 37922-3472
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
11457
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3169834
—
TN
Enumeration date
08/02/2011
Last updated
08/02/2011
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