Mr Gary Christopoher Daugherty, LPN | |
107 Wiley Cemetery Ln, Rocky Top, TN 37769-5700 | |
(865) 659-7611 | |
Not Available |
Full Name | Mr Gary Christopoher Daugherty |
---|---|
Gender | Male |
Speciality | Licensed Practical Nurse |
Location | 107 Wiley Cemetery Ln, Rocky Top, Tennessee |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578332516 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | 88802 (Tennessee) | Primary |
Mailing Address | Practice Location Address |
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Mr Gary Christopoher Daugherty, LPN 107 Wiley Cemetery Ln, Rocky Top, TN 37769-5700 Ph: (865) 659-7611 | Mr Gary Christopoher Daugherty, LPN 107 Wiley Cemetery Ln, Rocky Top, TN 37769-5700 Ph: (865) 659-7611 |
Chelsea Taylor, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 2811 Lake City Hwy, Rocky Top, TN 37769 Phone: 865-850-6863 | |
Janet Saunders, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 402 Ross Cemetery Rd, Rocky Top, TN 37769 Phone: 865-771-3515 |