Individual
DR. JOHN ELWOOD DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
174 MCAFEE BLF, GRAY, TN 37615-4067
(423) 283-0411
Mailing address
174 MCAFEE BLF, GRAY, TN 37615-4067
(423) 283-0411
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
0000012866
TN
Other
Enumeration date
04/06/2007
Last updated
07/08/2007
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