Individual
DARRION JEWAYNE PREWITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
503 E TICKLE ST, SUITE C, DYERSBURG, TN 38024-3165
(731) 512-0104
(731) 512-0601
Mailing address
17 CENTRE PLAZA DR, SUITE C, JACKSON, TN 38305-2862
(731) 512-0104
(731) 512-0601
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD027357
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0440355
UNITED HEALTHCARE
—
01
—
110164227
PALMETTO GBA
—
01
—
115832
BETTER HEALTH PLAN
—
01
—
3073645
BLUE CROSS OF TN
TN
01
—
3775116
CIGNA
—
05
—
3807605
—
TN
01
—
5133201
AETNA
—
01
—
7126
TLC(MEMPHIS MANAGED CARE)
—
Enumeration date
09/09/2005
Last updated
04/07/2011
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