Organization
JEFFERSON FAMILY PHYSICIANS P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEWAYNE P DARBY M.D. (AN OWNER)
(865) 475-6161
Entity
Organization
Contact information
Practice address
1810 BISHOP AVE, SUITE A, JEFFERSON CITY, TN 37760-1997
(865) 475-6161
(865) 475-9857
Mailing address
1810 BISHOP AVE, SUITE A, JEFFERSON CITY, TN 37760-1997
(865) 475-6161
(865) 475-9857
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3712170
—
TN
05
—
3712179
—
TN
Enumeration date
07/22/2006
Last updated
08/22/2020
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