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1154505428
CLYDE COLUMBUS MATHISON
FARRAGUT, TN
NPI
1154505428
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Y00000X Otolaryngology
(Licence: TN 47129)
Enumeration Date
2007-12-21
Last Update Date
2018-08-17
Business Address
Dr. CLYDE COLUMBUS MATHISON MD
144 CONCORD RD DEPT OF
FARRAGUT, TN 37934-2901
Phone number: 865-777-1727
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Mailing Address
Dr. CLYDE COLUMBUS MATHISON MD
FARRAGUT ENT & ALLERGY 144 CONCORD ROAD
KNOXVILLE, TN 37934-0001
Phone number: 865-777-1727
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