Individual
STEPHANIE C. DUNAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
430 S LAKE ST, PARIS, TN 38242-4573
(731) 642-3024
(731) 642-3028
Mailing address
430 S LAKE ST, PARIS, TN 38242-4573
(731) 642-3024
(731) 642-3028
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35276
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18983
TLC
—
01
—
4015654
BLUECROSS BLUESHIELD
—
Enumeration date
02/08/2006
Last updated
07/13/2010
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