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1992736250
SOUTHCREST MEDICAL GROUP LLC
TULSA, OK
NPI
1992736250
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Entity Type
Organization
Authorized Contact
DEBBIE BREWER
Director Of Provider Enrollment
877-892-9813
Organization Subpart ?
No
Primary Taxonomy
208D00000X General Practice
Enumeration Date
2006-07-05
Last Update Date
2008-04-20
Business Address
SOUTHCREST MEDICAL GROUP LLC
6528 E 101ST ST STE I
TULSA, OK 74133-6724
Phone number: 918-294-4803
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Mailing Address
SOUTHCREST MEDICAL GROUP LLC
7100 COMMERCE WAY SUITE 180
BRENTWOOD, TN 37027-2829
Phone number:
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