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1043618432
PS MARYLAND IOM, LLC
NASHVILLE, TN
NPI
1043618432
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Entity Type
Organization
Authorized Contact
BRIAN MCCOLLUM
President & CEO
877-396-3161
Organization Subpart ?
No
Primary Taxonomy
261QM2500X Clinic/Center, Medical Specialty
Enumeration Date
2014-12-17
Last Update Date
2015-09-10
Business Address
PS MARYLAND IOM, LLC
700 12TH AVE S SUITE 306
NASHVILLE, TN 37203-3367
Phone number: 877-977-4630
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Mailing Address
PS MARYLAND IOM, LLC
PO BOX 680835
FRANKLIN, TN 37068-0835
Phone number: 877-396-3161
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