Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 47468 | TN |
NPI | 1023235231 |
---|---|
Provider Name | Carey Cameron Dozier |
First Address | Chattanooga, TN 37412-3910 |
Second Address | Chattanooga, TN 37412-3910 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2007 |
Last Update Date | 01/11/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1523528 | (05) | TN |
4299588 | BCBS TN (01) | TN |
52647123 | BCBS GA (01) |