Individual
DR. DEBORA C DANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
PO BOX 1389, 15166 RANKIN AVE, DUNLAP, TN 37327
(423) 949-6300
(423) 949-6374
Mailing address
PO BOX 1389, DUNLAP, TN 37327-1389
(423) 949-6300
(423) 949-6374
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0000026084
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3376890
—
TN
Enumeration date
06/11/2006
Last updated
02/19/2019
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