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Individual

DR. JAMES DAVID PROFFITT JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
701 MORGANTON SQUARE DR, MARYVILLE, TN 37801-4796
(865) 984-6823
(865) 984-0824
Mailing address
1225 E WEISGARBER RD, SUITE 200, KNOXVILLE, TN 37909-2604
(865) 584-4747
(865) 584-1363

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25052
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3714826
MEDICARE GROUP
TN
Enumeration date
05/10/2006
Last updated
12/11/2018
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