Provider Demographics
NPI:1174676688
Name:CLINCH, JOANNE MARIE (MD)
Entity type:Individual
Prefix:DR
First Name:JOANNE
Middle Name:MARIE
Last Name:CLINCH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:JOANNE
Other - Middle Name:MARIE
Other - Last Name:CARELLA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1800 VOLUNTEER BLVD
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37996-4522
Mailing Address - Country:US
Mailing Address - Phone:865-974-3135
Mailing Address - Fax:865-974-2000
Practice Address - Street 1:1800 VOLUNTEER BLVD
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37996-7386
Practice Address - Country:US
Practice Address - Phone:865-974-3135
Practice Address - Fax:865-974-2000
Is Sole Proprietor?:No
Enumeration Date:2007-01-19
Last Update Date:2024-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000067647207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine