DR. ELIJAH M DUDNEY


Address: 2546 Freestate Road, Gainesboro, TN 38562-0126
Phone: 9312689321

DR. ELIJAH M DUDNEY (NPI# 1336312735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336312735
Entity Type Individual
Full Name DR. ELIJAH M DUDNEY
Practice Address 2546 Freestate Road
Gainesboro
TN 38562-0126
Mailing Address Po Box 126
Gainesboro
TN 38562-0126
Practice Telephone 9312689321
Mailing Telephone 9312689321
Enumeration Date 2008-04-07
Last Update Date 2008-04-07
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice AD1193337 TN Allopathic & Osteopathic Physicians

Office Location

Street Address 2546 FREESTATE ROAD
City GAINESBORO
State TN
Zip Code 38562-0126

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1114040292 Thomas J Mabry & Assoc Inc Skilled Nursing Facility 1340 N Grundy Quarles Hwy, Gainesboro, TN 38562 2007-04-06
1861403933 Gainesboro Rx Corp Pharmacy 100 Hull Avenue, Gainesboro, TN 38562 2006-08-11
1194748566 Anderson & Haile Drug Store Durable Medical Equipment & Medical Supplies 101 West Gore Ave, Gainesboro, TN 38562 2006-07-25
1861496341 Jackson County Court House Executive Ambulance 316 N. Murray Street, Gainesboro, TN 38562 2005-06-13
1699172312 Teneal Faye Jenkins Pharmacist 101 West Gore Ave, Gainesboro, TN 38562-0065 2014-11-24
1235418690 Alexa Allison Miller Dentist 103 East Gore Ave, Gainesboro, TN 38562-0595 2011-08-16
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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

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Competitor

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City GAINESBORO
Zip Code 38562

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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