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Contact Information

RANDALL DEVAULT, MD
501 20TH ST
SUITE 606
KNOXVILLE, TN37916
 Phone: 865-546-8040
 Fax: 865-541-2787
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for RANDALL DEVAULT · (Male)

NPI Number 1528036282
Status Active
Credentials MD
Entity Individual
Enumeration date 03/09/2006
Last updated 07/10/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • TN License # 38541
  • TN Medicaid 3892680
  • TN Other 4084179 BLUE CROSS
  • TN Other 4084179 BLUECARE
  • TN Other 100045570 PHP TENNCARE
  • TN Other P00154858 TRAVELERS MEDICARE
Hospital affiliation(s)
  • PARKWEST MEDICAL CENTER - (Acute Care)
    9352 PARK WEST BLVD
    KNOXVILLE, TN 37923
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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