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Individual

RANDY LEE DENTON JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1855 TANNER WAY STE 200, HARRIMAN, TN 37748-8331
(865) 376-6272
(865) 374-2100
Mailing address
1855 TANNER WAY STE 200, HARRIMAN, TN 37748-8331
(865) 376-6272
(865) 374-2100

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
23983
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3086338
TN
05
Q066114
TN
Enumeration date
09/01/2005
Last updated
06/25/2021
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