Individual
EUGENE WAYNE DUPAS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7628 TAZEWELL PIKE, CORRYTON, TN 37721-2910
(225) 892-0212
Mailing address
828 CARTER VIEW LN, KNOXVILLE, TN 37924-3442
(225) 892-0212
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
876
TN
Other
Enumeration date
03/11/2019
Last updated
03/11/2019
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