Individual
DR. SUSANA IRIAS DONAGHEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1819 WARD DR, SUITE 101, MURFREESBORO, TN 37129-0556
(615) 904-0134
(615) 904-0136
Mailing address
1819 WARD DR, SUITE 101, MURFREESBORO, TN 37129-0556
(615) 904-0134
(615) 904-0136
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
40750
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10982336
CAQH
TN
01
—
4124400
BLUE CROSS PROVIDER NUMBE
TN
Enumeration date
07/12/2006
Last updated
07/08/2007
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