Organization
ORTHOTENNESSEE, PC
Active
Other names
Lakeway Orthopaedic Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JON-DAVID DEESON (CEO)
(865) 769-4545
Entity
Organization
Contact information
Practice address
460 MEDICAL PARK DR, SUITE 104, LENOIR CITY, TN 37772-5640
(865) 986-7737
(865) 986-7807
Mailing address
460 MEDICAL PARK DR, SUITE 104, LENOIR CITY, TN 37772-5640
(865) 986-7737
(865) 986-7807
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
09/27/2006
Last updated
09/29/2017
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