Individual
DR. BRIAN KEITH DOCKERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
228 W 4TH ST, SUITE 200, COOKEVILLE, TN 38501-2488
(931) 372-0405
(931) 372-0463
Mailing address
228 W 4TH ST, SUITE 200, COOKEVILLE, TN 38501-2488
(931) 372-0405
(931) 372-0463
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
31307
TN
207RI0011X
Interventional Cardiology Physician
Primary
31307
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1506018
—
TN
01
—
4288696
BCBS
TN
Enumeration date
03/02/2007
Last updated
06/17/2022
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