Provider Demographics
NPI:1518976315
Name:IKARD, MARGARET F (DO)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:F
Last Name:IKARD
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:F
Other - Last Name:BURNETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:425 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:GALLATIN
Mailing Address - State:TN
Mailing Address - Zip Code:37066-2982
Mailing Address - Country:US
Mailing Address - Phone:615-425-0035
Mailing Address - Fax:615-452-0093
Practice Address - Street 1:425 E MAIN ST
Practice Address - Street 2:
Practice Address - City:GALLATIN
Practice Address - State:TN
Practice Address - Zip Code:37066-2982
Practice Address - Country:US
Practice Address - Phone:615-425-0035
Practice Address - Fax:615-452-0093
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-08
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1348207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNH08206Medicare UPIN