Individual
DIANNE C DRAPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
401 E MAIN ST, JOHNSON CITY, TN 37601-4877
(423) 929-2584
(423) 722-2048
Mailing address
401 E MAIN ST, JOHNSON CITY, TN 37601-4877
(423) 431-0509
(423) 722-2060
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D01567
TN
207R00000X
Internal Medicine Physician
DO01567
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3308149
—
TN
01
—
4072404
BCBS OF TN
TN
01
—
TN0101
JOHN DEERE
TN
Enumeration date
06/16/2006
Last updated
02/20/2018
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