Damron, Douglas Len

Damron, Douglas Len is an individual health care provider with primary practice located at 110 Hospital Dr , Jefferson City TN 37760-5281. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Damron, Douglas Len can be contacted via phone (865) 471-2360.

Contact Information

Primary practice address
110 Hospital Dr Jefferson City TN 37760-5281
Phone: (865) 471-2360
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 34755 Tennessee

Profile Details

NPI number 1396785317
LBN Legal business name Damron, Douglas Len
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Sep 23rd, 2010 - about 15 years ago

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 1396785317 NPPES
Tennessee Other 4154001 BLUE CROSS
Tennessee Other P00233170 BLUE CROSS
Tennessee MEDICAID 3859555 BLUE CROSS
Tennessee Other 4065461 BLUE CROSS
Tennessee MEDICAID 3859554 BLUE CROSS

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