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Individual

DR. EVERETT ELLISON MCDUFFIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
200 DECK LN, UNIT 1001, BLOUNTVILLE, TN 37617-6339
(423) 573-1409
Mailing address
200 DECK LN, UNIT 1001, BLOUNTVILLE, TN 37617-6339
(423) 573-1409

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
40958
TN

Other

Enumeration date
07/29/2006
Last updated
04/09/2008
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