Individual
DR. DOUGLAS C DYCUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3698 S GRUNDY QUARLES HWY, GAINESBORO, TN 38562-5950
(931) 268-3224
(931) 268-3228
Mailing address
PO BOX 247, GAINESBORO, TN 38562-0247
(931) 268-3224
(931) 268-3228
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD020847
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
142892
BC/BSTN
TN
05
—
3057264
—
TN
Enumeration date
07/16/2006
Last updated
06/02/2022
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