Individual
DANIEL MATTHEW ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
603 E EMORY RD STE 105, POWELL, TN 37849-3567
(865) 859-7377
(865) 859-7378
Mailing address
603 E EMORY RD STE 105, POWELL, TN 37849-3567
(865) 859-7377
(865) 859-7378
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2996
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q020506
—
TN
Enumeration date
06/22/2011
Last updated
09/01/2020
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