Healthcare Provider Details

I. General information

NPI: 1861196339
Provider Name (Legal Business Name): DANIEL MCDERMAND DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/29/2023
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5127 VETERANS PKWY
MURFREESBORO TN
37128-4375
US

IV. Provider business mailing address

PO BOX 337
LAFAYETTE TN
37083-0337
US

V. Phone/Fax

Practice location:
  • Phone: 629-543-6000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number6262
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: