Individual
DR. DOUGLAS LEN DAMRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
110 HOSPITAL DR, JEFFERSON CITY, TN 37760-5281
(865) 471-2360
Mailing address
1011 ANDREW JOHNSON HWY, STRAWBERRY PLAINS, TN 37871-1132
(865) 898-0376
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34755
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3859554
—
TN
05
—
3859555
—
TN
01
—
4065461
BLUE CROSS
TN
01
—
4154001
BLUE CROSS
TN
01
—
P00233170
RAILROAD
TN
Enumeration date
06/07/2006
Last updated
09/23/2010
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