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Individual

DR. DOLORES MARIA DIGAETANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
8316 MACON TER, SUITE 103, CORDOVA, TN 38018-8505
(901) 757-0568
(901) 754-8247
Mailing address
8316 MACON TER, SUITE 103, CORDOVA, TN 38018-8505
(901) 757-0568
(901) 754-8247

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD0000012907
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03375701
MS
05
3387193
TN
01
60283
BCBS OF TN
TN
Enumeration date
11/07/2006
Last updated
08/29/2014
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