Provider Demographics
NPI:1295784502
Name:PEARMAN, CYNTHIA M (MD)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:M
Last Name:PEARMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1924 ALCOA HWY
Mailing Address - Street 2:U-67
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37920-1511
Mailing Address - Country:US
Mailing Address - Phone:865-544-9352
Mailing Address - Fax:865-544-9314
Practice Address - Street 1:1924 ALCOA HWY
Practice Address - Street 2:U-115
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37920-1511
Practice Address - Country:US
Practice Address - Phone:865-544-9351
Practice Address - Fax:865-544-9314
Is Sole Proprietor?:No
Enumeration Date:2006-05-06
Last Update Date:2012-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD34071207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1689631137OtherGROUP NPI
TN5394953OtherCIGNA
TN01-41679OtherUNITED HEALTH CARE
TN3150090OtherBLUE CROSS/BLUE SHIELD
TN3373352OtherUFP MEDICARE GRP
TNTN01G6OtherJOHN DEERE
TN100032125OtherPHP TENNCARE
TN3373352OtherUFP MEDICAID GRP
TN7488309OtherAETNA
TN3853144Medicaid
TN080164594OtherRAILROAD MEDICARE
TNTN01G6OtherJOHN DEERE
TN7488309OtherAETNA