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1316024193
MID-SOUTH RECTAL CLINIC, INC.
BARTLETT, TN
NPI
1316024193
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Entity Type
Organization
Authorized Contact
MICHAEL M. FOX
Provider/Owner
901-362-5252
Organization Subpart ?
No
Primary Taxonomy
208600000X Surgery
(Licence: TN 36972)
Enumeration Date
2006-11-01
Last Update Date
2016-02-01
Business Address
MID-SOUTH RECTAL CLINIC, INC.
6563 STAGE OAKS DR SUITE 100
BARTLETT, TN 38134-2886
Phone number: 901-362-5252
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Mailing Address
MID-SOUTH RECTAL CLINIC, INC.
7550 LUCERNE DR SUITE 405
MIDDLEBURG HEIGHTS, OH 44130-6588
Phone number: 440-234-8833
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