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Individual

DERENE ELLEN AKINS

Active
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Individual

DERENE ELLEN AKINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD12731
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0128000
BLUE CROSS
01
110049108
RAILROAD MEDICARE
05
3382217
TN
Enumeration date
08/29/2006
Last updated
08/01/2011
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