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1912143991
THEOPHILUS JAMES HUMPHREYS
JACKSON, TN
NPI
1912143991
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: TN 5126)
Enumeration Date
2008-12-23
Last Update Date
2016-05-18
Business Address
-- THEOPHILUS JAMES HUMPHREYS MD
164 W UNIVERSITY PKWY STE A
JACKSON, TN 38305-1621
Phone number: 731-215-1135
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Mailing Address
-- THEOPHILUS JAMES HUMPHREYS MD
127 STANWORTH GRV
JACKSON, TN 38305-4237
Phone number: 731-427-0322
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