Individual
DOUGLAS PETER EAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP - C
Contact information
Practice address
6498 PROSPECT RD, PROSPECT, TN 38477-6384
(931) 309-9460
Mailing address
1605 S LOCUST AVE, STE 101, LAWRENCEBURG, TN 38464-4053
(931) 762-4400
(931) 762-4499
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
25619
TN
Other
Enumeration date
03/19/2019
Last updated
07/24/2019
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