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1326229345
COLLIERVILLE PEDIATRICS, LLC
COLLIERVILLE, TN
NPI
1326229345
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Entity Type
Organization
Authorized Contact
JAYA VENKATARAMAN
Md/President
901-854-5455
Organization Subpart ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: TN 38751)
Enumeration Date
2007-11-19
Last Update Date
2007-11-19
Business Address
COLLIERVILLE PEDIATRICS, LLC
2028 W POPLAR AVE SUITE 112
COLLIERVILLE, TN 38017-0618
Phone number: 901-854-5455
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Mailing Address
COLLIERVILLE PEDIATRICS, LLC
2028 W POPLAR AVE SUITE 112
COLLIERVILLE, TN 38017-0618
Phone number: 901-854-5455
Copy
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