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1245352970
GAUTAM DUTTA
COOKEVILLE, TN
NPI
1245352970
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208M00000X Hospitalist
(Licence: TN MD45220)
Enumeration Date
2007-04-04
Last Update Date
2021-12-29
Business Address
GAUTAM DUTTA
1 MEDICAL CENTER BLVD SUITE 103
COOKEVILLE, TN 38501-4294
Phone number: 931-783-2770
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Mailing Address
GAUTAM DUTTA
127 N OAK AVE SUITE D
COOKEVILLE, TN 38501-2435
Phone number: 931-783-5857
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