Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | MD29290 | TN |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 29290 | TN |
NPI | 1295702991 |
---|---|
Provider Name | Dr. Mary Chris Testerman |
First Address | Knoxville, TN 37922-3355 |
Second Address | Knoxville, TN 37909-2674 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/03/2006 |
Last Update Date | 29/06/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100010640 | TENNCARE (01) | TN |
1201443 | UNITED HEALTH CARE (01) | TN |
200030630 | RAILROAD MEDICARE (01) | TN |
3087106 | BLUE CROSS BLUE SHIELD (01) | TN |
3818769 | (05) | TN |
4457891 | AETNA (01) | TN |
G63748 | (02) | |
TN0156 | JOHN DEERE HEALTHCARE (01) | TN |
TN0160 | JOHN DEERE HEALTHCARE (01) | TN |