Individual
DR. DOUGLAS E HOMOKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD031208
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000053389
ANTHEM
KY
01
—
003115442
BCBS OF TN
TN
05
—
005826497
—
VA
01
—
100028374
PHP TENNCARE
TN
05
—
1802969000
—
WV
01
—
208758
ANTHEM
VA
05
—
3700033
—
TN
05
—
64712292
—
KY
01
—
7586071
AETNA
TN
01
—
TN0113
UNITED HEALTHCARE RIVER V
TN
Enumeration date
09/12/2005
Last updated
05/27/2008
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