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NPI Code Detail

MEDICARE: DR. ROSANNE R. DALTON M.D.

MEDICARE: DR. ROSANNE R. DALTON M.D.
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
1208000000XPediatrics Physician33468KY
2208000000XPediatrics PhysicianMD42627TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1235133133
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROSANNE R. DALTON M.D.
Provider Business Mailing Address
First Line : 1272 GARRISON DR
Second Line :
City : MURFREESBORO
State : TN
Zip : 37129-2598
Country : US
Telephone Number : 615-893-4480
Fax Number : 615-867-7946
Provider Business Practice Location Address
First Line : 1272 GARRISON DR
Second Line :
City : MURFREESBORO
State : TN
Zip : 37129-2598
Country : US
Telephone Number : 615-893-4480
Fax Number : 615-867-7946
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2005
Last Update Date : 06/25/2020

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