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1316934664
BOB T SOUDER
JACKSON, TN
NPI
1316934664
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207RG0100X Internal Medicine Gastroenterology
(Licence: TN 8762)
Enumeration Date
2005-10-03
Last Update Date
2023-03-07
Business Address
BOB T SOUDER MD
9 PHYSICIANS DR
JACKSON, TN 38305-2071
Phone number: 731-661-0086
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Mailing Address
BOB T SOUDER MD
PO BOX 11567
JACKSON, TN 38308-0126
Phone number: 731-661-0086
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