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1649373929
BERKSHIRE PLASTIC SURGEONS PLLC
TULLAHOMA, TN
NPI
1649373929
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Entity Type
Organization
Authorized Contact
PAUL MICHAEL HAIDAK
Owner
931-841-3311
Organization Subpart ?
No
Primary Taxonomy
208200000X Plastic Surgery
(Licence: TN MD44645)
Enumeration Date
2006-09-05
Last Update Date
2013-09-13
Business Address
BERKSHIRE PLASTIC SURGEONS PLLC
105 LEDFORD MILL RD SUITE B
TULLAHOMA, TN 37388-8261
Phone number: 931-841-3311
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Mailing Address
BERKSHIRE PLASTIC SURGEONS PLLC
PO BOX 220
TULLAHOMA, TN 37388
Phone number: 931-841-3311
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