Jernigan, Perry

Jernigan, Perry is an individual health care provider with primary practice located at 1301 Sunset Dr Ste 3, Johnson City TN 37604-7906. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Jernigan, Perry can be contacted via phone (423) 926-4966.

Contact Information

Primary practice address
1301 Sunset Dr Ste 3 Johnson City TN 37604-7906
Phone: (423) 926-4966
Fax: (423) 926-1823
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 30603 Tennessee

Profile Details

NPI number 1164473005
LBN Legal business name Jernigan, Perry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Jul 8th, 2007 - about 17 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 1164473005 NPPES
Tennessee MEDICAID 3828412
Tennessee Other 64305642
Tennessee Other 7222688
Tennessee Other 3098340
Tennessee Other 89063JH

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