Provider Demographics
NPI:1639213051
Name:CECIL, DEBBIE P (DO)
Entity Type:Individual
Prefix:
First Name:DEBBIE
Middle Name:P
Last Name:CECIL
Suffix:
Gender:F
Credentials:DO
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Other - Credentials:
Mailing Address - Street 1:5410 MARYLAND WAY
Mailing Address - Street 2:SUITE 300
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-5064
Mailing Address - Country:US
Mailing Address - Phone:615-377-5600
Mailing Address - Fax:615-373-5280
Practice Address - Street 1:1228 E RUSHOLME ST
Practice Address - Street 2:SUITE112
Practice Address - City:DAVENPORT
Practice Address - State:IA
Practice Address - Zip Code:52803-2453
Practice Address - Country:US
Practice Address - Phone:563-421-3121
Practice Address - Fax:563-421-3129
Is Sole Proprietor?:No
Enumeration Date:2007-02-18
Last Update Date:2009-10-14
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Provider Licenses
StateLicense IDTaxonomies
IA3838207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IAI15915007Medicare PIN