Organization
DARYL DONEY
Active
Other names
Daryl B. Doney DBA MTR
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DARYL B DONEY CRT (OWNER/PRESIDENT)
(931) 962-0234
Entity
Organization
Contact information
Practice address
2866 DECHERD BLVD., DECHERD, TN 37324
(931) 962-0234
(931) 962-0281
Mailing address
PO BOX 146, DECHERD, TN 37324
(931) 962-0234
(931) 962-0281
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
TN936
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1454275
—
TN
Enumeration date
02/10/2006
Last updated
02/23/2012
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