Eugene Wayne Dupas JR.
Sports Medicine
7628 Tazewell Pike
Corryton
, Tennessee 37721-2910
Eugene Wayne Dupas JR.
Sports Medicine
7628 Tazewell Pike
Corryton
, Tennessee 37721-2910
(225) 892-0212
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About
Features
Specialties
- Sports Medicine
Languages spoken
- English
Location
First Address
- Eugene Wayne Dupas JR.
- 828 Carter View Ln
- Knoxville, TN
- Zip : 37924-3442
- Phone : (225) 892-0212
Second Address
- Eugene Wayne Dupas JR.
- 7628 Tazewell Pike
- Corryton, TN
- Zip : 37721-2910
- Phone : (225) 892-0212
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2081S0010X | Sports Medicine | 876 | TN |
| Y | 213ES0000X | Sports Medicine | 876 | TN |
National Provider Identifier
| NPI | 1083172936 |
|---|---|
| Provider Name | Eugene Wayne Dupas JR. |
| First Address | Knoxville, TN 37924-3442 |
| Second Address | Corryton, TN 37721-2910 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/03/2019 |
| Last Update Date | 11/03/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.