Individual
DR. ELIZABETH JULISSA DOCKERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
200 NEW YORK AVE STE 150, OAK RIDGE, TN 37830-5227
(865) 835-5850
Mailing address
200 NEW YORK AVE STE 150, OAK RIDGE, TN 37830-5227
(865) 835-5850
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0116029699
VA
207Q00000X
Family Medicine Physician
Primary
3363
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q050850
—
TN
Enumeration date
06/23/2016
Last updated
09/12/2023
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