Healthcare Provider Details

I. General information

NPI: 1184190712
Provider Name (Legal Business Name): PAUL MICHAEL MCCURRY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/22/2018
Last Update Date: 04/12/2022
Certification Date: 04/12/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2014 STILL WATER LN
KNOXVILLE TN
37922-5657
US

IV. Provider business mailing address

2014 STILL WATER LN
KNOXVILLE TN
37922-5657
US

V. Phone/Fax

Practice location:
  • Phone: 615-300-5775
  • Fax:
Mailing address:
  • Phone: 615-300-5775
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2083A0300X
TaxonomyAddiction Medicine (Preventive Medicine) Physician
License Number29915
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code2083P0011X
TaxonomyUndersea and Hyperbaric Medicine (Preventive Medicine) Physician
License Number29915
License Number StateTN
# 3
Primary TaxonomyY
Taxonomy Code207LA0401X
TaxonomyAddiction Medicine (Anesthesiology) Physician
License Number29915
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: