Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0401X | Internist - Addiction Medicine | MD00018065 | TN |
NPI | 1124216387 |
---|---|
Provider Name | Dr. Curtis R. Markham |
First Address | Louisville, TN 37777-5505 |
Second Address | Knoxville, TN 37921-5718 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/10/2007 |
Last Update Date | 26/04/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
204882276 | (05) | TN |
4138519 | BLUE CROSS BLUE SHIELD (01) | TN |
B00174 | (02) | TN |