Individual
JONATHAN DANIEL DEE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1924 PINNACLE PT, SUITE 100, KNOXVILLE, TN 37922-6648
(865) 584-5762
Mailing address
1225 E WEISGARBER RD, SUITE 200, KNOXVILLE, TN 37909-2604
(865) 584-4747
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
29622
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3706633
MEDICARE LEGACY GROUP
TN
Enumeration date
10/03/2006
Last updated
08/05/2010
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