Everett Ellison McDuffie, M.D.
Individual provider Active NPI Psychiatry Physician · Blountville, TN
NPI 1124032479 · NPPES record last updated Apr 9, 2008
Key facts
- NPI
- 1124032479
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 40958 (TN)
- Practice address
- 200 Deck LN
Unit 1001
Blountville, TN 37617-6339 - Phone
- (423) 573-1409
- NPI assigned
- Jul 29, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 40958 | TN | Yes |
Addresses
Primary practice location
200 Deck LN
Unit 1001
Blountville, TN 37617-6339
Mailing address
200 Deck LN
Unit 1001
Blountville, TN 37617-6339
Phone (423) 573-1409
Other providers in Blountville, TN
- Sarah E Linnane
- Chelsea Paige Long
- Autumn Samantha Longworth
- Russell B Mantooth
- Mark a. Bowers
- Heather Leann McElyea
- Kelly McKaig
- Medexpress Urgent Care, PC - Virginia
- Michael Miller Messamore
- Rebecca Jean Miller
All providers in Blountville, TN · Psychiatry Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 9, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.