Provider Demographics
NPI:1063499846
Name:LITTLETON, ERIC JAMES (MD)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:JAMES
Last Name:LITTLETON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:744 MIDDLE CREEK RD
Mailing Address - Street 2:SUITE 108
Mailing Address - City:SEVIERVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37862-5015
Mailing Address - Country:US
Mailing Address - Phone:865-446-9500
Mailing Address - Fax:865-446-9501
Practice Address - Street 1:744 MIDDLE CREEK RD
Practice Address - Street 2:SUITE 108
Practice Address - City:SEVIERVILLE
Practice Address - State:TN
Practice Address - Zip Code:37862-5015
Practice Address - Country:US
Practice Address - Phone:865-446-9500
Practice Address - Fax:865-446-9501
Is Sole Proprietor?:No
Enumeration Date:2005-12-22
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN34773207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3858816Medicaid
TN3858816Medicaid
TN3855816Medicare ID - Type Unspecified
TN3858816Medicaid