# DONALD H. DEATON, DO

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

## Provider details

- **NPI number:** 1942695358
- **Authorized official:** DR. DONALD H DEATON JR. DO (PHYSICIAN)
- **Authorized official phone:** (865) 278-4074

## Contact information

- **Practice address:** 1601 TAZEWELL RD, TAZEWELL, TN 37879-3609
- **Practice address phone:** (865) 278-4074
- **Mailing address:** PO BOX 473, HARROGATE, TN 37752-0473
- **Mailing address phone:** (865) 278-4074

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 784 | TN | Yes |

## Other

- **Enumeration date:** 04/02/2015
- **Last updated:** 04/02/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1512317 | — | TN |