Basic Information
Provider Information
NPI: 1013181114
EntityType: 2
ReplacementNPI:  
OrganizationName: DAPHNE M. NORWOOD, MD
LastName:  
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MiddleName:  
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Credential:  
OtherOrganizationName:  
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Mailing Information
Address1: DEPT 888215
Address2:  
City: KNOXVILLE
State: TN
PostalCode: 379958215
CountryCode: US
TelephoneNumber: 8656706199
FaxNumber: 8656706158
Practice Location
Address1: 1924 ALCOA HWY
Address2: BOX U114
City: KNOXVILLE
State: TN
PostalCode: 379201511
CountryCode: US
TelephoneNumber: 8653059349
FaxNumber: 8653059144
Other Information
ProviderEnumerationDate: 04/18/2008
LastUpdateDate: 04/18/2008
NPIDeactivationReasonCode:  
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ProviderGenderCode:  
AuthorizedOfficialLastName: NORWOOD
AuthorizedOfficialFirstName: DAPHNE
AuthorizedOfficialMiddleName: M.
AuthorizedOfficialTitleorPosition: OWNER
AuthorizedOfficialTelephone: 8653059349
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
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AuthorizedOfficialCredential: MD
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X TNY193400000X SINGLE SPECIALTY GROUPAllopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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