Shattuck, Deaver T

Shattuck, Deaver T is an individual health care provider with primary practice located at 907 E Lamar Alexander Pkwy , Maryville TN 37804-5015. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Shattuck, Deaver T can be contacted via phone (865) 980-4897.

Contact Information

Primary practice address
907 E Lamar Alexander Pkwy Maryville TN 37804-5015
Phone: (865) 980-4897
Fax: (865) 977-4722
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X MD0000027892 Tennessee
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD0000027892 Tennessee

Profile Details

NPI number 1013985407
LBN Legal business name Shattuck, Deaver T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2006
Last updated Aug 8th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1013985407 NPPES
Tennessee MEDICAID 3803577
Tennessee MEDICAID 3803574

Popular Providers