Individual
ROBERT D DOTY JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1801 N JACKSON ST, TULLAHOMA, TN 37388-2201
(931) 393-3000
Mailing address
PO BOX 3910, CLARKSVILLE, TN 37043-0910
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
11079
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
TN
Enumeration date
05/25/2006
Last updated
07/08/2007
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