Individual
KEITH DUGGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1975 W ELK AVE, STE 1, ELIZABETHTON, TN 37643-3787
(423) 543-0073
Mailing address
1975 W ELK AVE, STE 1, ELIZABETHTON, TN 37643-3787
(423) 543-0073
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5427
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5427
STATE OF TENNESSEE
TN
Enumeration date
05/28/2013
Last updated
05/28/2013
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