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Physician Assistant

NPI: 1346955168IndividualAccepts Medicare

Specialties, Licenses & Credentials

Physician AssistantPrimary

Physician Assistant

Code: 363A00000X

PA0000005269(TN)

CMS Specialties

Education

OTHER

Class of 2020

Contact & Hours

Address
1508 CARL ADAMS DR UNIT 200
MURFREESBORO, TN 37129

Quick Facts

NPI
1346955168
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
1
Locations
1
Years in Practice
6

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