# MEDICAL ARTS PLAZA, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497019707
- **Authorized official:** DR. SCOTT EUGENE DESJARLAIS M.D. (REGISTERED AGENT)
- **Authorized official phone:** (423) 942-1602

## Contact information

- **Practice address:** 980 HIGHWAY 28, SUITE 100, JASPER, TN 37347-3695
- **Practice address phone:** (423) 942-1602
- **Practice address fax:** (423) 942-1265
- **Mailing address:** 980 HIGHWAY 28, SUITE 100, JASPER, TN 37347-3695
- **Mailing address phone:** (423) 942-1602
- **Mailing address fax:** (423) 942-1265

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 25036 | TN | Yes |
| 363LF0000X | Family Nurse Practitioner | 7170 | TN | — |

## Other

- **Enumeration date:** 07/02/2012
- **Last updated:** 08/07/2013