Provider Demographics
NPI:1912052655
Name:SATTERFIELD, ERIC LEE (DO)
Entity type:Individual
Prefix:
First Name:ERIC
Middle Name:LEE
Last Name:SATTERFIELD
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 459
Mailing Address - Street 2:
Mailing Address - City:COPPERHILL
Mailing Address - State:TN
Mailing Address - Zip Code:37317-0459
Mailing Address - Country:US
Mailing Address - Phone:423-548-2000
Mailing Address - Fax:423-548-2002
Practice Address - Street 1:144 MEDICAL CENTER DR STE D2
Practice Address - Street 2:
Practice Address - City:COPPERHILL
Practice Address - State:TN
Practice Address - Zip Code:37317-5005
Practice Address - Country:US
Practice Address - Phone:423-548-2000
Practice Address - Fax:423-548-2002
Is Sole Proprietor?:No
Enumeration Date:2007-01-24
Last Update Date:2021-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2008-00279208600000X
TNDO1884208600000X
MO2005020205208600000X
MI5101014154208600000X
GA060984208600000X
TNDO0000001884207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO207391707Medicaid
AR158234003Medicaid
I22339Medicare UPIN
MO207391707Medicaid
MO935281084Medicare PIN