Individual
DR. DALE E DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
701 COUNTY SERVICES DR, COOKEVILLE, TN 38501-4338
(931) 528-2531
(931) 526-7451
Mailing address
1100 ENGLAND DR, COOKEVILLE, TN 38501-0924
(931) 528-7531
(931) 520-0413
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD 008036
TN
208D00000X
General Practice Physician
Primary
MD8036
TN
Other
Enumeration date
10/12/2005
Last updated
03/08/2018
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