Individual
MICHAEL T DAMRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
616 W LAMAR ALEXANDER PKWY, MARYVILLE, TN 37801-3904
(865) 518-0010
Mailing address
1225 E WEISGARBER RD STE 200, KNOXVILLE, TN 37909-2675
(865) 584-4747
(865) 584-1363
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD31566
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3159331
BCBS
TN
05
—
3898556
—
TN
Enumeration date
09/06/2006
Last updated
03/07/2023
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