Individual
DONALD R DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
10321 KINGSTON PIKE, KNOXVILLE, TN 37922-3224
(865) 584-3565
(865) 584-2956
Mailing address
10321 KINGSTON PIKE, KNOXVILLE, TN 37922-3224
(865) 584-3565
(865) 584-2956
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA0000000766
TN
Other
Enumeration date
01/13/2007
Last updated
12/27/2010
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