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1306023361
SUNSHINE MEDICAL, LLC
MADISON, TN
NPI
1306023361
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Entity Type
Organization
Authorized Contact
KAWANDUS LOVETT BENNETT
CEO
615-942-9271
Organization Subpart ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TN 1203)
Enumeration Date
2008-01-22
Last Update Date
2008-01-22
Business Address
SUNSHINE MEDICAL, LLC
801 E OLD HICKORY BLVD STE 150
MADISON, TN 37115-4169
Phone number: 615-942-9271
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Mailing Address
SUNSHINE MEDICAL, LLC
PO BOX 160441
NASHVILLE, TN 37216-0441
Phone number: 615-942-9271
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