Healthcare Provider Details

I. General information

NPI: 1225462542
Provider Name (Legal Business Name): DUNNS FAMILY HEALTH CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2013
Last Update Date: 08/22/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

405 DELL TRL
DUNLAP TN
37327-3963
US

IV. Provider business mailing address

PO BOX 1524
DUNLAP TN
37327-1524
US

V. Phone/Fax

Practice location:
  • Phone: 423-255-7987
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. TERENCE SEAN DUNN
Title or Position: PRESIDENT
Credential: MD
Phone: 423-255-7987