MEDICARE: PAUL MICHAEL MCCURRY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2083A0300X	Addiction Medicine (Preventive Medicine) Physician	29915	TN
2	2083P0011X	Undersea and Hyperbaric Medicine (Preventive Medicine) Physician	29915	TN
3	207LA0401X	Addiction Medicine (Anesthesiology) Physician	29915	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1184190712
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAUL MICHAEL MCCURRY MD

Provider Business Mailing Address
First Line	:	2014 STILL WATER LN
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37922-5657
Country	:	US
Telephone Number	:	615-300-5775
Fax Number	:

Provider Business Practice Location Address
First Line	:	2014 STILL WATER LN
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37922-5657
Country	:	US
Telephone Number	:	615-300-5775
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/22/2018
Last Update Date	:	04/12/2022

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