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1275500274
EVANNA PROCTOR
JACKSON, TN
NPI
1275500274
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: TN MD29082)
Enumeration Date
2006-03-08
Last Update Date
2017-10-09
Business Address
EVANNA PROCTOR MD
620 SKYLINE DR
JACKSON, TN 38301-3923
Phone number: 731-422-0213
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Mailing Address
EVANNA PROCTOR MD
PO BOX 400
JACKSON, TN 38302-0400
Phone number: 731-423-8697
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