# BLOUNT HOSPITALISTS PC

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

## Provider details

- **NPI number:** 1679876411
- **Authorized official:** DEAVER T SHATTUCK M.D. (PRESIDENT)
- **Authorized official phone:** (865) 980-4897

## Contact information

- **Practice address:** 907 E LAMAR ALEXANDER PKWY, MARYVILLE, TN 37804-5015
- **Practice address phone:** (865) 980-4897
- **Practice address fax:** (865) 977-4796
- **Mailing address:** PO BOX 4068, MARYVILLE, TN 37802-4068
- **Mailing address phone:** (865) 273-1752
- **Mailing address fax:** (865) 273-1755

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208M00000X | Hospitalist Physician | — | NULL | Yes |
| 208M00000X | Hospitalist Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/17/2010
- **Last updated:** 03/20/2012