Organization
HOUSECALL PRIMARY CARE, PLLC
Active
Other names
Senior Care Specialty
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEAVER T SHATTUCK MD (MEDICAL DIRECTOR)
(865) 246-2104
Entity
Organization
Contact information
Practice address
1812 E LAMAR ALEXANDER PKWY, MARYVILLE, TN 37804-5283
(865) 980-5200
(865) 246-2106
Mailing address
PO BOX 5777, MARYVILLE, TN 37802-5777
(865) 246-2104
(865) 246-2106
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
TN
363A00000X
Physician Assistant
—
TN
363L00000X
Nurse Practitioner
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q012236
—
TN
Enumeration date
03/12/2015
Last updated
06/27/2025
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