Douglas Dycus

NPI #1013195106 in Gainesboro, Tennessee

Provider Information

NPI Number: 1013195106
Entity Type: Organization
Organization Name: Douglas Dycus
Primary Specialty: Internal Medicine
Enumeration Date: Jan 31, 2008
Last Updated: Jan 31, 2008

Practice Location

Address: 3698 S GRUNDY QUARLES HWY
City: Gainesboro
State: Tennessee
ZIP Code: 38562-5950
Phone: (931) 268-3224

Authorized Official

Name: MRS. TAMMY DYCUS
Title: OFFICE MANGER
Phone: (931) 268-3224

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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