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1952913345
PROVIDENCE PSYCHIATRIC SERVICES PLLC
CORDOVA, TN
NPI
1952913345
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Entity Type
Organization
Authorized Contact
JASON FU LIUSONG
President
901-881-1500
Organization Subpart ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
Enumeration Date
2020-08-18
Last Update Date
2020-09-30
Business Address
PROVIDENCE PSYCHIATRIC SERVICES PLLC
86 TIMBER CREEK DR STE 3
CORDOVA, TN 38018-4284
Phone number: 901-881-1500
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Mailing Address
PROVIDENCE PSYCHIATRIC SERVICES PLLC
86 TIMBER CREEK DR STE 3
CORDOVA, TN 38018-4284
Phone number: 901-881-1500
Copy
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