Organization
ORTHOTENNESSEE, PC
Active
Other names
Orthopaedic Surgeons of Oak Ridge
Organization subpart
No
Provider details
NPI number
Authorized official
JON-DAVID DEESON (CEO)
(865) 769-4545
Entity
Organization
Contact information
Practice address
2130 N CHARLES G SEIVERS BLVD, CLINTON, TN 37716-6705
(865) 482-9025
(865) 483-8151
Mailing address
90 VERMONT AVE, SUITE 300, OAK RIDGE, TN 37830-6474
(865) 482-9025
(865) 483-8151
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3711777
MEDICARE ID
TN
Enumeration date
09/27/2006
Last updated
09/29/2017
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