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1902009699
ROGER DALE GADDIS
ALCOA, TN
NPI
1902009699
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: TN DO0000001730)
Enumeration Date
2007-06-08
Last Update Date
2015-01-13
Business Address
ROGER DALE GADDIS DO
266 JOULE ST
ALCOA, TN 37701-2422
Phone number: 865-984-3864
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Mailing Address
ROGER DALE GADDIS DO
701 MORGANTON SQUARE DR
MARYVILLE, TN 37801-4796
Phone number: 865-273-1752
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