Healthcare Provider Details

I. General information

NPI: 1073518890
Provider Name (Legal Business Name): DANIEL K MCCAMMON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2005
Last Update Date: 06/18/2025
Certification Date: 06/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1450 DOWELL SPRINGS BLVD. SUITE 300
KNOXVILLE TN
37909
US

IV. Provider business mailing address

1450 DOWELL SPRINGS BLVD SUITE 300
KNOXVILLE TN
37909
US

V. Phone/Fax

Practice location:
  • Phone: 865-637-8812
  • Fax: 865-637-8865
Mailing address:
  • Phone: 865-637-8812
  • Fax: 865-637-8865

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number19620
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: