Individual
JEFFREY LEE DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1915 WHITE AVE, SUITE 601, KNOXVILLE, TN 37916-2300
(865) 525-4333
(865) 212-8879
Mailing address
1915 WHITE AVE, SUITE 601, KNOXVILLE, TN 37916-2300
(865) 525-4333
(865) 212-8879
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
0000028293
TN
207R00000X
Internal Medicine Physician
Primary
2021-1051
NM
Other
Enumeration date
05/31/2006
Last updated
10/28/2022
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