Organization
D & D HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DUANE ELLIOTT CHERRY (OWNER/CEO)
(731) 217-9897
Entity
Organization
Contact information
Practice address
104 SKYVIEW DR, JACKSON, TN 38305-2733
(731) 217-9897
Mailing address
PO BOX 7013, JACKSON, TN 38302-7013
(731) 217-9897
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
14380969684
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
H445141
—
TN
Enumeration date
07/08/2008
Last updated
07/08/2008
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