Provider Demographics
NPI:1598875593
Name:SADLON, JUSTIN GEORGE (MD)
Entity Type:Individual
Prefix:DR
First Name:JUSTIN
Middle Name:GEORGE
Last Name:SADLON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4209 CARNATION DR
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:37814-6791
Mailing Address - Country:US
Mailing Address - Phone:423-318-0546
Mailing Address - Fax:
Practice Address - Street 1:7810 BALL CAMP PIKE
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37931-4033
Practice Address - Country:US
Practice Address - Phone:865-539-4439
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD0000027527207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNMD0000027527OtherSTATE LICENSE NUMBER
TNG44075Medicare UPIN