Individual
JASON DUNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2253 CHAMBLISS AVE NW STE 100, CLEVELAND, TN 37311-3861
(423) 472-5423
(423) 476-5523
Mailing address
PO BOX 52948, KNOXVILLE, TN 37950-2948
(865) 306-5700
(865) 584-7760
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
42816
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1514440
—
TN
01
—
MD0000042816
MEDICAL LICENSE
TN
01
—
T08364A
MEDICARE
—
Enumeration date
09/28/2007
Last updated
07/26/2019
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