Daggett, Justin R.

Daggett, Justin R. is an individual health care provider with primary practice located at 2100 Clinch Avenue Suite 510 , Knoxville TN 37916-2225. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Surgery of the Hand, Allopathic & Osteopathic Physicians / Plastic Surgery. Allopathic & Osteopathic Physicians / Plastic Surgery is his primary health care specialty. Daggett, Justin R. can be contacted via phone (865) 824-4939.

Contact Information

Primary practice address
2100 Clinch Avenue Suite 510 Knoxville TN 37916-2225
Phone: (865) 824-4939
Fax: (866) 630-2013
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 63568 Tennessee
Allopathic & Osteopathic Physicians / Surgery of the Hand 2082S0105X 63568 Tennessee
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 63568 Tennessee

Profile Details

NPI number 1982903712
LBN Legal business name Daggett, Justin R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 18th, 2011
Last updated Jun 21st, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982903712 NPPES
Tennessee MEDICAID Q066325

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