Dr John Thomas Daugherty, MD | |
110 Executive Park Dr, Clinton, TN 37716-6876 | |
(865) 494-9241 | |
(865) 494-2522 |
Full Name | Dr John Thomas Daugherty |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 110 Executive Park Dr, Clinton, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306834122 | NPI | - | NPPES |
125762 | Other | TN | BLUE CROSS |
080030188 | Other | TN | RAILROAD MEDICARE |
3062410 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD0000021373 (Tennessee) | Primary |
Entity Name | Covenant Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457302010 PECOS PAC ID: 2860305463 Enrollment ID: O20060719000030 |
Mailing Address | Practice Location Address |
---|---|
Dr John Thomas Daugherty, MD 110 Executive Park Dr, Clinton, TN 37716-6876 Ph: (865) 494-9241 | Dr John Thomas Daugherty, MD 110 Executive Park Dr, Clinton, TN 37716-6876 Ph: (865) 494-9241 |
Dr. Jose J Malagon, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 102 S Charles G Seivers Blvd, Clinton, TN 37716 Phone: 865-457-4702 Fax: 865-457-7178 | |
Dr. Gonzalo Rafael De Villa, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 102 S Charles G Seivers Blvd, Clinton, TN 37716 Phone: 865-457-4702 | |
Dr. Christopher Ryan Hagenson, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 110 Executive Park Dr, Clinton, TN 37716 Phone: 865-494-9241 | |
Dr. Thomas Terrell, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 110 Executive Park Dr, Clinton, TN 37716 Phone: 865-494-9241 Fax: 865-494-0895 | |
Mary Hoehl, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 110 Executive Park Dr, Clinton, TN 37716 Phone: 865-494-9241 | |
Wendy Noelle May, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 102 S Charles G Seivers Blvd, Clinton, TN 37716 Phone: 865-457-4702 Fax: 865-457-7178 |