# DR. DEBORA DANIEL

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

## Provider details

- **NPI number:** 1508050717
- **Authorized official:** DR. DEBORA C DANIEL M.D. (OWNER/M.D.)
- **Authorized official phone:** (423) 949-6300

## Contact information

- **Practice address:** 16931 RANKIN AVE, DUNLAP, TN 37327-7029
- **Practice address phone:** (423) 949-6300
- **Practice address fax:** (423) 949-6374
- **Mailing address:** 16931 RANKIN AVE, PO BOX 1389, DUNLAP, TN 37327-7029
- **Mailing address phone:** (423) 949-6300
- **Mailing address fax:** (423) 949-6374

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 0000026084 | TN | Yes |

## Other

- **Enumeration date:** 08/30/2007
- **Last updated:** 09/05/2007