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Physician Assistant

NPI: 1912694514IndividualAccepts Medicare

Specialties, Licenses & Credentials

Physician AssistantPrimary

Physician Assistant

Code: 363A00000X

5386(TN)

CMS Specialties

Education

UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE

Class of 2022

Contact & Hours

Via practice · 2 locations total

Address
1574 MEDICAL CENTER PKWY STE 104
MURFREESBORO, TN 37129

Quick Facts

NPI
1912694514
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
1
Locations
2
Years in Practice
4

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