Individual
GINA M DIEUDONNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1636 E MAIN ST, HUMBOLDT, TN 38343-2904
(731) 784-7833
(731) 784-7856
Mailing address
1636 E MAIN STREET, HUMBOLDT, TN 38343-2922
(731) 784-7833
(731) 784-7856
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
41750
TN
Other
Enumeration date
11/18/2005
Last updated
08/29/2017
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