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Organization
BLOUNT HOSPITALISTS PC
Active
Organization
BLOUNT HOSPITALISTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEAVER T SHATTUCK M.D. (PRESIDENT)
(865) 980-4897
Entity
Organization
Contact information
Practice address
907 E LAMAR ALEXANDER PKWY, MARYVILLE, TN 37804-5015
(865) 980-4897
(865) 977-4796
Mailing address
PO BOX 4068, MARYVILLE, TN 37802-4068
(865) 273-1752
(865) 273-1755
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
NULL
208M00000X
Hospitalist Physician
Primary
—
—
Other
Enumeration date
12/17/2010
Last updated
03/20/2012
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