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1801881958
HEATH BROUSSARD
JACKSON, TN
NPI
1801881958
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: TN 31232)
Enumeration Date
2005-09-14
Last Update Date
2012-11-29
Business Address
HEATH BROUSSARD MD
700 W FOREST AVE STE 300
JACKSON, TN 38301-3937
Phone number: 731-422-0310
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Mailing Address
HEATH BROUSSARD MD
PO BOX 400
JACKSON, TN 38302-0400
Phone number: 731-423-8697
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