John J Ingram III MD

NPI 1053480996 - Internal Medicine - 207R00000X

NPI Details
NPI 1053480996
Gender Male
Enumeration Date 11/07/2006
Last Updated 12/03/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
266 JOULE ST
ALCOA TN, 37701-2422, US
Phone (865) 984-3864
Fax (865) 380-2131
Business Location
701 MORGANTON SQUARE DR
MARYVILLE TN, 37801-4796, US
Phone (865) 984-3864
Fax (865) 380-2131
Toxanomy
Taxonomy Code 207R00000X
License State Tennessee
License Number 7609
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According to our database, Dr. John J Ingram III MD NPI is 1053480996, taxonomy code is 207R00000X and license number is 7609, license state is located at Tennessee. John J Ingram III MD physically located at 266 Joule St, Alcoa TN, 37701-2422. NPI Number John J Ingram III MD has the Individual type.

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1053480996 NPI number is provided on an as is basis without warranty of any kind. 1053480996 is maintained by the National Plan & Provider Enumeration System. The contents of John J Ingram III MD are for informational purposes only.