Hewgley, Iii, Isham C

Hewgley, Iii, Isham C is an individual health care provider with primary practice located at 10820 Parkside Dr 2Nd Floor, Knoxville TN 37934-1956. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Hewgley, Iii, Isham C can be contacted via phone (865) 218-7972.

Contact Information

Primary practice address
10820 Parkside Dr 2Nd Floor Knoxville TN 37934-1956
Phone: (865) 218-7972
Fax: (865) 218-7973
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 16850 Tennessee
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 16850 Tennessee

Profile Details

NPI number 1215915921
LBN Legal business name Hewgley, Iii, Isham C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2006
Last updated May 3rd, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215915921 NPPES
Tennessee MEDICAID 3025422
Tennessee Other P00986579

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