Organization
TAKOMA REGIONAL HOSPITAL DBA TAKOMA MEDICAL ASSOCIATES
Active
Other names
Takoma Medical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
TODD J DOUGAN (CFO)
(423) 230-8512
Entity
Organization
Contact information
Practice address
401 TAKOMA AVE, GREENEVILLE, TN 37743-4647
(423) 636-3151
Mailing address
PO BOX 37087, BALTIMORE, MD 21297-3807
(423) 224-3250
(423) 224-3258
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/23/2007
Last updated
02/06/2017
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