MICHAEL ALLEN REVELLE

JACKSON, TN
NPI1295714558
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: TN  MD34579)
Enumeration Date2006-01-13
Last Update Date2009-07-16
Business Address
MICHAEL ALLEN REVELLE M.D.
708 W FOREST AVE
JACKSON, TN 38301-3901
Phone number: 731-660-8759
Mailing Address
MICHAEL ALLEN REVELLE M.D.
1804 HIGHWAY 45 BYP SUITE 604
JACKSON, TN 38305-4436
Phone number: 731-660-8759
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