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NPI Code Detail

MEDICARE: EDMUND T PALMER MD

MEDICARE: EDMUND T PALMER 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
1207R00000XInternal Medicine Physician9656TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1129522OTHERTNBETTER HEALTH
22178223OTHERTNCIGNA
39280OTHERTNTLC
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
559982OTHERTNBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1326045154
Entity Type Code : Individual
Provider Name (Legal Business Name) : EDMUND T PALMER MD
Provider Business Mailing Address
First Line : 294 SUMMAR DR
Second Line : DEPT 289
City : JACKSON
State : TN
Zip : 38301-3915
Country : US
Telephone Number : 731-265-8220
Fax Number : 731-265-8355
Provider Business Practice Location Address
First Line : 294 SUMMAR DR
Second Line :
City : JACKSON
State : TN
Zip : 38301-3915
Country : US
Telephone Number : 731-423-1932
Fax Number : 731-423-4919
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2005
Last Update Date : 07/12/2007

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Directions to “ EDMUND T PALMER MD” Practice Location

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