Provider Demographics
NPI:1689201907
Name:DORAN, AARON M (DO)
Entity Type:Individual
Prefix:DR
First Name:AARON
Middle Name:M
Last Name:DORAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 3889
Mailing Address - Street 2:
Mailing Address - City:JOHNSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37602-3889
Mailing Address - Country:US
Mailing Address - Phone:423-794-5742
Mailing Address - Fax:423-230-2112
Practice Address - Street 1:444 CLINCHFIELD ST STE 2900
Practice Address - Street 2:
Practice Address - City:KINGSPORT
Practice Address - State:TN
Practice Address - Zip Code:37660-3828
Practice Address - Country:US
Practice Address - Phone:423-723-2900
Practice Address - Fax:423-723-2901
Is Sole Proprietor?:No
Enumeration Date:2020-03-25
Last Update Date:2023-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN5225207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine