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1013911882

NPI Code Detail

MEDICARE: DR. DANNY J STRANGE MD

MEDICARE: DR. DANNY J STRANGE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	24755	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	3100064	OTHER	TN	BCBS OF TN

General Provider Information

NPI Number	:	1013911882
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANNY J STRANGE MD

Provider Business Mailing Address
First Line	:	PO BOX 938
Second Line	:
City	:	COOKEVILLE
State	:	TN
Zip	:	38503-0938
Country	:	US
Telephone Number	:	931-783-2334
Fax Number	:	931-783-2253

Provider Business Practice Location Address
First Line	:	1 MEDICAL CENTER BLVD
Second Line	:
City	:	COOKEVILLE
State	:	TN
Zip	:	38501-4294
Country	:	US
Telephone Number	:	931-783-2334
Fax Number	:	931-783-2253

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2005
Last Update Date	:	02/22/2012

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Directions to “ DR. DANNY J STRANGE MD” Practice Location

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