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1407969843
DANIEL B FORE
SOUTHAVEN, MS
NPI
1407969843
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: MS 19431)
Additional Taxonomies
208600000X Surgery
(Licence: TN 44480)
Enumeration Date
2006-08-17
Last Update Date
2020-06-15
Business Address
DANIEL B FORE M.D.
401 SOUTHCREST CIR SUITE 210
SOUTHAVEN, MS 38671-6726
Phone number: 662-536-1944
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Mailing Address
DANIEL B FORE M.D.
965 RIDGE LAKE BLVD STE 103
MEMPHIS, TN 38120-9446
Phone number:
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