Dea, Md, Pc | |
138 Fairbanks Rd Oak Ridge TN 37830-7077 | |
(931) 248-1414 | |
(931) 707-5178 |
Full Name | Dea, Md, Pc |
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Speciality | Internal Medicine |
Location | 138 Fairbanks Rd, Oak Ridge, Tennessee |
Authorized Official Name and Position | Derron E Allen (OWNER) |
Authorized Official Contact | 6154790743 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dea, Md, Pc Po Box 3350 Crossville TN 38557-3350 Ph: (931) 248-1414 | Dea, Md, Pc 138 Fairbanks Rd Oak Ridge TN 37830-7077 Ph: (931) 248-1414 |
NPI Number | 1578370409 |
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Provider Enumeration Date | 12/13/2024 |
Last Update Date | 12/13/2024 |
Identifier | Type | State | Issuer |
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1578370409 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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