Individual
DR. RANDAL L. DABBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1901 W CLINCH AVE, KNOXVILLE, TN 37916-2307
(865) 541-1111
Mailing address
PO BOX 634706, CINCINNATI, OH 45263-4706
(865) 292-3000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD010273
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000293133
BLUE CROSS
KY
05
—
00123519
—
MS
01
—
1383V
BLUE CROSS
NC
05
—
2004772000
—
WV
01
—
3112581
BLUE CROSS
TN
05
—
3816671
—
TN
05
—
3816673
—
TN
05
—
5901029
—
NC
01
—
5M433
BLUE CROSS
AR
01
—
P00384361
RAILROAD MEDICARE
TN
Enumeration date
05/28/2006
Last updated
11/06/2007
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