Healthcare Provider Details

I. General information

NPI: 1760803225
Provider Name (Legal Business Name): PEARMAN SENIOR CARE, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/30/2013
Last Update Date: 01/03/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6801 MIDDLEBROOK PIKE
KNOXVILLE TN
37909-1152
US

IV. Provider business mailing address

1701 EMERSON PARK DR
KNOXVILLE TN
37922-8540
US

V. Phone/Fax

Practice location:
  • Phone: 865-588-7661
  • Fax:
Mailing address:
  • Phone: 865-660-9730
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. CYNTHIA M PEARMAN
Title or Position: OWNER
Credential: MD
Phone: 865-660-9730