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1053414698
CROSSVILLE MEDICAL GROUP PA
CROSSVILLE, TN
NPI
1053414698
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Entity Type
Organization
Authorized Contact
GARY BURTON
Administrator
931-484-5141
Organization Subpart ?
No
Primary Taxonomy
261QM1300X Clinic/Center, Multi-Specialty
Enumeration Date
2006-09-07
Last Update Date
2009-11-19
Business Address
CROSSVILLE MEDICAL GROUP PA
100 LANTANA RD SUITE 202
CROSSVILLE, TN 38555-1903
Phone number: 931-484-5141
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Mailing Address
CROSSVILLE MEDICAL GROUP PA
100 LANTANA RD SUITE 202
CROSSVILLE, TN 38555-1903
Phone number: 931-484-5141
Copy
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