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Contact Information

JAN A DEWITT, MD
109 LAND OAK RD
KNOXVILLE, TN37922-2011
 Phone: 865-777-1300
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Personal Emergency Response Attendant

146D00000X
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for JAN A DEWITT · (Male)

NPI Number 1154351971
Status Active
Credentials MD
Entity Individual
Enumeration date 07/04/2006
Last updated 12/14/2009 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 33357
  • WV License # 21904
  • KY Medicaid 64039050
Hospital affiliation(s) Not Available
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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