Provider Demographics
NPI:1922880699
Name:AIYAD, DOLAGI
Entity Type:Individual
Prefix:
First Name:DOLAGI
Middle Name:
Last Name:AIYAD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 CROWNHILL DR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37217-1403
Mailing Address - Country:US
Mailing Address - Phone:615-554-6113
Mailing Address - Fax:
Practice Address - Street 1:4805 COLUMBIA PIKE
Practice Address - Street 2:
Practice Address - City:THOMPSONS STATION
Practice Address - State:TN
Practice Address - Zip Code:37179-5207
Practice Address - Country:US
Practice Address - Phone:615-791-0974
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-18
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN46623183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist