MID SOUTH PSYCH SERVICES, PLLC

BOLIVAR, TN
NPI1558856609
Entity TypeOrganization
Authorized ContactMARY JANE ALLEN
Owner
731-609-6096
Organization Subpart ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date2018-06-29
Last Update Date2018-06-29
Business Address
MID SOUTH PSYCH SERVICES, PLLC
206 STEVENS RD
BOLIVAR, TN 38008-1120
Phone number: 731-609-6096
Mailing Address
MID SOUTH PSYCH SERVICES, PLLC
PO BOX 5777
MARYVILLE, TN 37802-5777
Phone number: 865-246-2104
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