Individual
DR. DOUGLAS S DEWAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
820 W RACE ST, KINGSTON, TN 37763-2120
(865) 376-3406
(865) 376-9091
Mailing address
820 W RACE ST, KINGSTON, TN 37763-2120
(865) 376-3406
(865) 376-9091
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD20502
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3051750
—
TN
01
—
3136630
BLUE CROSS
TN
Enumeration date
11/10/2005
Last updated
12/29/2009
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