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1063606655
MID-STATE SPORTS MEDICINE
COOKEVILLE, TN
NPI
1063606655
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Entity Type
Organization
Authorized Contact
RICHARD I WILLIAMS
Owner
931-525-6676
Organization Subpart ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: TN MD27426)
Enumeration Date
2007-08-28
Last Update Date
2007-08-28
Business Address
MID-STATE SPORTS MEDICINE
221 N OAK AVE
COOKEVILLE, TN 38501-2437
Phone number: 931-525-6676
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Mailing Address
MID-STATE SPORTS MEDICINE
221 N OAK AVE
COOKEVILLE, TN 38501-2437
Phone number: 931-525-6676
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