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1093725533
MID STATE MEDICAL GROUP, LLC
GALLATIN, TN
NPI
1093725533
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Entity Type
Organization
Authorized Contact
NORIDIA MAURAS
Owner
615-390-0708
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: TN 1782)
Enumeration Date
2006-08-08
Last Update Date
2008-02-14
Business Address
MID STATE MEDICAL GROUP, LLC
1525 HUNT CLUB BLVD SUITE 600
GALLATIN, TN 37066-6070
Phone number: 615-230-9095
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Mailing Address
MID STATE MEDICAL GROUP, LLC
PO BOX 309
GALLATIN, TN 37066-0309
Phone number: 615-230-9095
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