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Organization
DONALD H. DEATON, DO
Active
Organization
DONALD H. DEATON, DO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD H DEATON JR. DO (PHYSICIAN)
(865) 278-4074
Entity
Organization
Contact information
Practice address
1601 TAZEWELL RD, TAZEWELL, TN 37879-3609
(865) 278-4074
Mailing address
PO BOX 473, HARROGATE, TN 37752-0473
(865) 278-4074
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
784
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1512317
—
TN
Enumeration date
04/02/2015
Last updated
04/02/2015
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