Individual
DR. DEANA R BROTHERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
653 MERCHANTS GREENE BLVD., SUITE 201, MORRISTOWN, TN 37813
(423) 492-6700
(865) 374-2131
Mailing address
653 MERCHANTS GREENE BLVD., SUITE 201, MORRISTOWN, TN 37813
(423) 492-6700
(865) 374-2131
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD30887
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100028814
PHP
TN
01
—
3142811
BCBST
TN
01
—
3144180
BCBST
TN
01
—
3144181
BCBST
TN
01
—
3144182
BLUECARE-BOGARD
TN
05
—
3846342
—
TN
Enumeration date
01/26/2006
Last updated
04/27/2023
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