Soddy Daisy Medical Care

NPI #1629516307 in Soddy Daisy, Tennessee

Provider Information

NPI Number
1629516307
Entity Type
Organization
Organization Name
Soddy Daisy Medical Care
Primary Specialty
Internal Medicine
Enumeration Date
Feb 2, 2017
Last Updated
Feb 2, 2017

Practice Location

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

Authorized Official

Name
DR. SHAHLA A KAUKAB, M.D.
Title
OWNER
Phone
(423) 451-0622

Specialties & Taxonomy Codes

Specialty
Internal Medicine

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