Individual
RAFI DAOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
620 SKYLINE DR, JACKSON, TN 38301-3923
(484) 628-8000
Mailing address
100 CORINTHIAN CV APT F102, JACKSON, TN 38305-3264
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
74468
TN
207Q00000X
Family Medicine Physician
MT227159
PA
Other
Enumeration date
06/17/2022
Last updated
07/22/2025
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