Individual
BARRY T DORITY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
450 NORTHCREST DR, SPRINGFIELD, TN 37172-3972
(615) 384-1571
Mailing address
3125 SANDY SPRINGS RD, PLEASANT VIEW, TN 37146-2812
(615) 384-1571
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
12120
TN
Other
Enumeration date
06/25/2007
Last updated
01/20/2009
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