Individual
DR. JO LEE DEVANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1120 N OCOEE ST, LEE UNIVERSITY HEALTH CLINIC, CLEVELAND, TN 37311-4458
(423) 614-8430
Mailing address
3011 CHESTNUT CIR NW, CLEVELAND, TN 37312-2110
(423) 478-2417
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
012009
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3722363
—
TN
01
—
4012706
BLUE CROSS NUMBER
TN
Enumeration date
01/31/2007
Last updated
07/09/2007
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