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1750717195
FORKED DEER RIVER INPATIENT SERVICES, PLLC
DYERSBURG, TN
NPI
1750717195
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Entity Type
Organization
Authorized Contact
KATHY KONDAS
Officer
973-251-1132
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2013-09-17
Last Update Date
2020-12-21
Business Address
FORKED DEER RIVER INPATIENT SERVICES, PLLC
400 E TICKLE ST
DYERSBURG, TN 38024-3120
Phone number: 731-285-2410
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Mailing Address
FORKED DEER RIVER INPATIENT SERVICES, PLLC
815 S PALAFOX ST 3RD FLOOR
PENSACOLA, FL 32502-5960
Phone number:
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