Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 19620 | TN |
NPI | 1073518890 |
---|---|
Provider Name | Daniel K Mccammon |
First Address | Knoxville, TN 37909 |
Second Address | Knoxville, TN 37909 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2005 |
Last Update Date | 17/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F54563 | (02) | |
F54563 | (02) | TN |
Q017652 | (05) | TN |