Eugene Wayne Dupas Jr.
Physical Medicine & Rehabilitation, Sports Medicine in Corryton, TN. Individual provider (NPI-1).
NPI number1083172936
StatusActive
Last updated in NPPESMar 11, 2019
Details
- NPI
- 1083172936
- Entity type
- Individual (NPI-1)
- Name
- Eugene Wayne Dupas Jr.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 11, 2019
- Last updated
- Mar 11, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2081S0010X | Physical Medicine & Rehabilitation, Sports Medicine | 876 | TN | Yes |
Practice location
7628 Tazewell PikeCorryton, TN 37721-2910
Phone 225-892-0212
Mailing address
828 Carter View LnKnoxville, TN 37924-3442
Phone 225-892-0212
Other practice locations
828 Carter View Ln
Knoxville, TN 37924-3442
Knoxville, TN 37924-3442
Phone 225-892-0212
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