Provider Demographics
NPI:1588837561
Name:PERKERSON, JACE M (MD)
Entity Type:Individual
Prefix:DR
First Name:JACE
Middle Name:M
Last Name:PERKERSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:341 TRANE DR
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37919-6053
Mailing Address - Country:US
Mailing Address - Phone:865-588-0880
Mailing Address - Fax:
Practice Address - Street 1:341 TRANE DR
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37919-6053
Practice Address - Country:US
Practice Address - Phone:865-588-0880
Practice Address - Fax:865-584-3111
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-10
Last Update Date:2014-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD163101207LC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LC0200XAllopathic & Osteopathic PhysiciansAnesthesiologyCritical Care Medicine