MEDICARE: DR. DALE E DOUGLAS 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
1	208600000X	Surgery Physician	MD 008036	TN
2	208D00000X	General Practice Physician	MD8036	TN

General Provider Information

NPI Number	:	1528056694
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DALE E DOUGLAS M.D.

Provider Business Mailing Address
First Line	:	1100 ENGLAND DR
Second Line	:
City	:	COOKEVILLE
State	:	TN
Zip	:	38501-0924
Country	:	US
Telephone Number	:	931-528-7531
Fax Number	:	931-520-0413

Provider Business Practice Location Address
First Line	:	701 COUNTY SERVICES DR
Second Line	:
City	:	COOKEVILLE
State	:	TN
Zip	:	38501-4338
Country	:	US
Telephone Number	:	931-528-2531
Fax Number	:	931-526-7451

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

Provider Enumeration Date	:	10/12/2005
Last Update Date	:	03/08/2018

Similar Medicare Providers

1700615705 — LAUREN FINN DDS
Practice Location Address:

701 COUNTY SERVICES DR
COOKEVILLE, TN
38501-4338

Practice Phone: 931-528-2531
Practice Fax:

1073515136 — CECILE ANNE MARIE MULLER APN
Practice Location Address:

701 COUNTY SERVICES DR , PUTNAM COUNTY HEALTH DEPARTMENT
COOKEVILLE, TN
38501-4338

Practice Phone: 931-528-2531
Practice Fax: 931-526-7451

1962499194 — DR. JOEL F JOHNSON JR. MD
Practice Location Address:

701 COUNTY SERVICES DR , TENNESSEE DEPARTMENT HEALTH
COOKEVILLE, TN
38501-4338

Practice Phone: 931-528-2531
Practice Fax: 931-526-7451

1720076342 — DR. GEORGE L IVEY III M.D.
Practice Location Address:

701 COUNTY SERVICES DR
COOKEVILLE, TN
38501-4338

Practice Phone: 931-528-2531
Practice Fax: 931-526-7453

1891862298 — TANNA C. SHORT
Practice Location Address:

701 COUNTY SERVICES DR
COOKEVILLE, TN
38501-4338

Practice Phone: 931-528-2531
Practice Fax: 931-528-7451

1649321464 — STATE OF TENNESSEE
Practice Location Address:

701 COUNTY SERVICES DR
COOKEVILLE, TN
38501-4338

Practice Phone: 931-528-2531
Practice Fax: 931-526-7541

Directions to “ DR. DALE E DOUGLAS M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.