Individual
DR. JUSTIN R. DAGGETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2100 CLINCH AVENUE SUITE 510, KNOXVILLE, TN 37916-2225
(865) 824-4939
(866) 630-2013
Mailing address
PO BOX 15004, KNOXVILLE, TN 37901-5004
(865) 541-8895
(865) 633-4808
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
63568
TN
208200000X
Plastic Surgery Physician
Primary
63568
TN
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
63568
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q066325
—
TN
Enumeration date
03/18/2011
Last updated
02/14/2025
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