Provider Demographics
NPI:1427054436
Name:PERKINS, STEPHEN LEE (MD)
Entity type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:LEE
Last Name:PERKINS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:320 PROSPERITY DR
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37923-4709
Mailing Address - Country:US
Mailing Address - Phone:423-756-1512
Mailing Address - Fax:
Practice Address - Street 1:1124 E WEISGARBER RD
Practice Address - Street 2:STE 207
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37909-2686
Practice Address - Country:US
Practice Address - Phone:865-588-0811
Practice Address - Fax:865-584-2153
Is Sole Proprietor?:No
Enumeration Date:2005-06-23
Last Update Date:2024-10-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TN36160207WX0107X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010039509Medicaid
TN3870901Medicaid
TN180043511OtherRAILROAD MEDICARE
TN180043511OtherRAILROAD MEDICARE
TN3870901Medicare PIN