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PEDIATRIC PROFESSIONALS

Specialist

NPI: 1518112911Organization

Specialties, Licenses & Credentials

SpecialistPrimary

Specialist

Code: 174400000X

30258(TN)

Contact & Hours

Address
136 MOUNTAIN PERKINS LANE, SUITE 2
JACKSBORO, TN 37757

Quick Facts

NPI
1518112911
Entity Type
Organization
Medicare
Not confirmed
Specialties
1
Locations
1

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