Individual
DR. ANDREW MARTIN DOUGLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1344 DOWELL SPRINGS BLVD, KNOXVILLE, TN 37909-2453
(865) 686-0507
(865) 357-8346
Mailing address
PO BOX 52333, KNOXVILLE, TN 37950-2333
(865) 686-0507
(865) 357-8346
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
021979
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00171113
MEDICARE RAILROAD
TN
Enumeration date
11/09/2005
Last updated
09/27/2011
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