# JEFFERSON FAMILY PHYSICIANS P C

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

## Provider details

- **NPI number:** 1972524239
- **Authorized official:** DEWAYNE P DARBY M.D. (AN OWNER)
- **Authorized official phone:** (865) 475-6161

## Contact information

- **Practice address:** 1810 BISHOP AVE, SUITE A, JEFFERSON CITY, TN 37760-1997
- **Practice address phone:** (865) 475-6161
- **Practice address fax:** (865) 475-9857
- **Mailing address:** 1810 BISHOP AVE, SUITE A, JEFFERSON CITY, TN 37760-1997
- **Mailing address phone:** (865) 475-6161
- **Mailing address fax:** (865) 475-9857

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/22/2006
- **Last updated:** 08/22/2020