Individual
DEANNA TAYLOR-GANTTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1924 ALCOA HWY, KNOXVILLE, TN 37920-1511
(865) 544-9661
(865) 544-6148
Mailing address
3053 W STATE ST, BRISTOL, TN 37620-1720
(423) 301-6567
(423) 573-9672
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
42661
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3000872
—
TN
01
—
42661
MD LICENSE
TN
Enumeration date
08/27/2007
Last updated
05/14/2019
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