Soddy Daisy Family Care

NPI #1487995304 in Soddy Daisy, Tennessee

Provider Information

NPI Number
1487995304
Entity Type
Organization
Organization Name
Soddy Daisy Family Care
Primary Specialty
Internal Medicine
Enumeration Date
Mar 4, 2013
Last Updated
May 12, 2017

Practice Location

Address
9089 DAYTON PIKE
ZIP Code
37379-4313
Phone
(423) 451-0622

Authorized Official

Name
MRS. SHAHLA A KAUKAB, MD
Title
OWNER
Phone
(423) 451-0623

Specialties & Taxonomy Codes

Specialty
Internal Medicine
Pediatrics

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