Healthcare Provider Details

I. General information

NPI: 1912052655
Provider Name (Legal Business Name): ERIC LEE SATTERFIELD D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/24/2007
Last Update Date: 11/10/2021
Certification Date: 11/10/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

144 MEDICAL CENTER DR STE D2
COPPERHILL TN
37317-5005
US

IV. Provider business mailing address

PO BOX 459
COPPERHILL TN
37317-0459
US

V. Phone/Fax

Practice location:
  • Phone: 423-548-2000
  • Fax: 423-548-2002
Mailing address:
  • Phone: 423-548-2000
  • Fax: 423-548-2002

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number2008-00279
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberDO1884
License Number StateTN
# 3
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number2005020205
License Number StateMO
# 4
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number5101014154
License Number StateMI
# 5
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number060984
License Number StateGA
# 6
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberDO0000001884
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: