Dogwood Clinic INC
Nurse Practitioner in Dyersburg, TN. Organization (NPI-2).
NPI number1164586186
StatusActive
Last updated in NPPESSep 10, 2007
Details
- NPI
- 1164586186
- Entity type
- Organization (NPI-2)
- Legal business name
- Dogwood Clinic INC
- Organization subpart
- No
- Enumeration date
- Dec 21, 2006
- Last updated
- Sep 10, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | – | – | Yes |
Practice location
1385 Flowering Dogwood LnSuite D
Dyersburg, TN 38024-6409
Phone 731-286-6209 · Fax 731-285-3600
Mailing address
1385 Flowering Dogwood LnSuite D
Dyersburg, TN 38024-6409
Phone 731-286-6209
Authorized official
Jason C Scott
Owner Director
7312866209
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