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Organization
TAKOMA REGIONAL HOSPITAL DBA TAKOMA MEDICAL ASSOCIATES
Active
Organization
TAKOMA REGIONAL HOSPITAL DBA TAKOMA MEDICAL ASSOCIATES
Active
Other names
Takoma Medical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
TODD J DOUGAN (CFO)
(423) 230-8512
Entity
Organization
Contact information
Practice address
401 TAKOMA AVE, GREENEVILLE, TN 37743-4647
(423) 636-3151
Mailing address
PO BOX 37087, BALTIMORE, MD 21297-3807
(423) 224-3250
(423) 224-3258
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/23/2007
Last updated
02/06/2017
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