Organization · NPI-2
Donald H. Deaton, DO
Family Medicine · Tazewell, TN
NPI number1942695358
StatusActive
Last updated in NPPESApr 2, 2015
Details
- NPI
- 1942695358
- Entity type
- Organization (NPI-2)
- Legal business name
- Donald H. Deaton, DO
- Organization subpart
- No
- Enumeration date
- Apr 2, 2015
- Last updated
- Apr 2, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 784 | TN | Yes |
Practice location
1601 Tazewell RdTazewell, TN 37879-3609
Phone 865-278-4074
Mailing address
Po Box 473Harrogate, TN 37752-0473
Phone 865-278-4074
Authorized official
Donald H Deaton
Physician
8652784074
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