Palmer, Mary
Palmer, Mary is an individual health care provider with primary practice located at 2018 Clinch Ave , Knoxville TN 37916-2301. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Child Abuse Pediatrics. Allopathic & Osteopathic Physicians / Child Abuse Pediatrics is her primary health care specialty. Palmer, Mary can be contacted via phone (865) 541-8105.Contact Information
Primary practice address
2018 Clinch Ave
Knoxville TN 37916-2301
Phone: (865) 541-8105
Fax: (865) 541-8713
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 20488 | Tennessee |
| Allopathic & Osteopathic Physicians / Child Abuse Pediatrics | 2080C0008X | 20488 | Tennessee |
Profile Details
| NPI number | 1467480814 |
|---|---|
| LBN Legal business name | Palmer, Mary |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2006 |
| Last updated | Jun 7th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467480814 | NPPES |
| Tennessee | MEDICAID | Q020174 |
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