Douglas Thaggard, MD
Internal Medicine in Olive Branch, MS. Individual provider (NPI-1).
NPI number1215347349
StatusActive
Last updated in NPPESMay 23, 2024
Details
- NPI
- 1215347349
- Entity type
- Individual (NPI-1)
- Name
- Douglas Thaggard
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 28, 2014
- Certification date
- May 23, 2024
- Last updated
- May 23, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 24977 | MS | Yes |
| 208M00000X | Hospitalist | 56029 | TN | |
| 208M00000X | Hospitalist | 24977 | MS | |
| 207R00000X | Internal Medicine | 56029 | TN |
Practice location
4250 Bethel RdOlive Branch, MS 38654-8737
Phone 901-516-1290 · Fax 901-516-1220
Mailing address
1211 Union Ave Ste 330Memphis, TN 38104-6655
Other practice locations
7691 Poplar Ave
Germantown, TN 38138-3904
Germantown, TN 38138-3904
Phone 901-516-1290 · Fax 901-516-1220
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Other Internal Medicine Physician providers in Olive Branch, MS
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All 7 Internal Medicine Physician providers in Olive Branch · All 643 providers in Olive Branch
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