CLINT W SELVAGE

WINCHESTER, TN
NPI1275097503
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TN  25420)
Enumeration Date2019-01-31
Last Update Date2019-01-31
Business Address
CLINT W SELVAGE FNP
2401 DECHERD BLVD
WINCHESTER, TN 37398-1164
Phone number: 931-313-1388
Mailing Address
CLINT W SELVAGE FNP
2707 SIXTEENTH MODEL RD
MANCHESTER, TN 37355-4858
Phone number: 931-570-0234
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