Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DAISY TAN ANTIQUE, MD
ActiveDAISY TAN ANTIQUE, MD is a Internal Medicine healthcare provider located in JACKSON, Tennessee. NPI 1447227939 is currently active in the NPPES registry. Verify at CMS.
Internal Medicine · JACKSON, TN
Registration Details
- NPI Number
- 1447227939
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 2, 2006 (20.30665224881 yrs)
- Last Updated
- Dec 11, 2007
- License
-
39516 (TN)
Practice Information
- Address
-
708 W FOREST AVEJACKSON, TN, 383013901Browse TN providers · Browse ZIP 38301
- Phone
- 7316608759
- Fax
- 7316608739
- Primary Specialty
-
Internal Medicine
207R00000X
Other Internal Medicine Providers in JACKSON, TN
| Name | Credential | NPI |
|---|---|---|
| EDMUND T PALMER | MD | 1326045154 |
| DR. MARVIN TYRONE MILLER | M.D. | 1700886553 |
| MARSHALL D BANKS | MD | 1104811249 |
| JAMES J DIFFEE | MD | 1518952514 |
| MARY ELISABETH NEAL ANDERSON | MD | 1386639136 |
| GREGORY EUGENE HUFF | MD | 1730156241 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.