Provider Demographics
NPI:1194727826
Name:PEARSON, DON R JR (MD)
Entity type:Individual
Prefix:DR
First Name:DON
Middle Name:R
Last Name:PEARSON
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:341 TRANE LANE
Mailing Address - Street 2:SUITE B
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37919
Mailing Address - Country:US
Mailing Address - Phone:865-588-0880
Mailing Address - Fax:865-584-3111
Practice Address - Street 1:1924 ALCOA HWY
Practice Address - Street 2:BOX U109
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37920-1511
Practice Address - Country:US
Practice Address - Phone:865-305-9220
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-08-12
Last Update Date:2016-03-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN11718207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64775822Medicaid
TN3012323Medicaid
TN2000223OtherBLUE CROSS
D70070Medicare UPIN
3012324Medicare ID - Type Unspecified