Individual
THOMAS S DAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2308 COUNTRY CLUB LN, COLUMBIA, TN 38401-5172
(931) 388-6059
Mailing address
2308 COUNTRY CLUB LN, COLUMBIA, TN 38401-5172
(931) 388-6059
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
7928
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3151739
BCBSTN
TN
05
—
3152490
—
TN
05
—
31524901
—
TN
05
—
3710084
—
TN
05
—
3710089
—
TN
Enumeration date
08/20/2006
Last updated
01/25/2012
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